Speelberg B, van Wezel H B
St. Elisabeth Ziekenhuis, afd. Intensive Care, Tilburg.
Ned Tijdschr Geneeskd. 1998 Jun 13;142(24):1392-3.
The apnea test is part of the brain death protocol of the National Health Council. If the patient is being given positive end-pressure respiration, he must not be uncoupled from the respirator. The apnea test should then be done by means of continuous positive airway pressure. Pressure triggering rather than the extremely sensitive flow triggering should then be chosen to trigger the respiration, since otherwise the patient may unjustifiably be declared 'not brain dead' as a result of slight aspecific movements (bumping against the bed, beating of the heart).
呼吸暂停测试是国家卫生委员会脑死亡判定规程的一部分。如果患者正在接受正压通气，不得将其与呼吸机分离。然后应通过持续气道正压进行呼吸暂停测试。此时应选择压力触发而非极其敏感的流量触发来启动呼吸，否则患者可能会因轻微的非特异性动作（碰到床、心跳）而被不合理地判定为“非脑死亡”。
