Journals / Türk Nöroloji Dergisi / 2021 / Cilt: 27 - Sayı: 1

Brain Death Diagnosis and Management in the Pandemic: Expert Opinion of the Turkish Neurological Society Neurological Intensive Care Scientific Working Group

Pandemide Beyin Ölümü Tanısı ve Yönetimi: Türk Nöroloji Derneği Nörolojik Yoğun Bakım Bilimsel Çalışma Grubu Uzman Görüşü

Pages
1–4
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Other declaration processes should be conducted in accordance with the 2014 guidelines of the Turkish Neurology Association.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In the pandemic year, the number of brain death declarations decreased by more than 50% compared with previous years.
📊
Key Findings & Data:Apnea testing should not be omitted in patients with COVID-19, and can be performed either with apneic oxygenation method or ventilator-based spontaneous modes when standard prerequisites are met.
💡
Conclusion & Impact:Other declaration processes should be conducted in accordance with the 2014 guidelines of the Turkish Neurology Association.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Abstract

In the pandemic year, the number of brain death declarations decreased by more than 50% compared with previous years. The timely diagnosis of brain death is critical in terms of rational use of intensive care facilities, as well as organ transplantation. Apnea testing should not be omitted in patients with COVID-19, and can be performed either with apneic oxygenation method or ventilator-based spontaneous modes when standard prerequisites are met. Complete compliance with personal protection measures and prevention of the environmental escape of the expiratory air via tube clamping or filtering is essential. Other declaration processes should be conducted in accordance with the 2014 guidelines of the Turkish Neurology Association.

Özet

Pandemi yılında beyin ölümü deklarasyon sayısı önceki yıllara göre %50’den fazla azaldı. Beyin ölümünün zamanında teşhisi organ nakli kadar yoğun bakım imkanlarının rasyonel kullanımı açısından da kritik önemdedir. Apne testi COVID-19 hastalarında standart ön koşullar sağlandığında apneik oksijenasyon veya ventilatöre bağlı şekilde spontan modlarda gerçekleştirilebilir. Kişisel koruma önlemlerine eksiksiz uyum ve ekspirasyon havasının klempleme veya filtreleme ile hiçbir zaman ortama verilmemesi şarttır. Deklarasyondaki diğer süreçler Türk Nöroloji Derneği 2014 rehberine uygun şekilde gerçekleştirilmelidir.

🔖

Cite This Article

ARSAVA, E. M., TOĞÇUOĞLU, M. A., ÖZDEMİR, A. Ö., YAKA, E., ŞİRİN, H., MENGİ, T. (2022). Brain Death Diagnosis and Management in the Pandemic: Expert Opinion of the Turkish Neurological Society Neurological Intensive Care Scientific Working Group. Türk Nöroloji Dergisi, Cilt: 27 - Sayı: 1, 1–4. https://ajindex.com/articles/636530

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Acar T, Demirel EA, Afşar N, et al. The COVID-19 from neurological overview. Turk J Neurol 2020;26:56-106
  2. Angelico R, Trapani S, Manzia TM, et al. The COVID-19 outbreak in Italy: Initial implications for organ transplantation programs. Am J Transplant 2020;20:1780-1784
  3. Dominguez-Gil B, Fernandez-Ruiz M, Hernandez D, et al. Organ donation and transplantation during the COVID-19 pandemic: A summary of the Spanish experience. Transplantation 2021;105:29-36
  4. Manara AR, Mumford L, Callaghan CJ, Ravanan R, Gardiner D. Donation and transplantation activity in the UK during the COVID-19 lockdown. Lancet 2020;396:465-466
  5. Senouci K, Guerrini P, Diene E, et al. A survey on patients admitted in severe coma: implications for brain death identification and organ donation. Intensive Care Med 2004;30:38-44
  6. Kahveci E, Arsava EM, Bozoklar CA, et al. Beyin ölümü kavramı ve organ donasyonu temel ilkelerinin olgularla gözden geçirilmesi. In: Kahveci E, Bozoklar, CA, Topcuoglu, MA. (eds). Beyin ölümünden organ nakline: Temel ilkeler ve pratik uygulamalar. Ankara: Türkiye Organ Nakli Vakfı, 2015:241-286
  7. Organkds. Access Date: 01.01.2021. Available from: https://organkds. saglik.gov.tr/dss/PUBLIC/Brain_Death.aspx 8. Dominguez-Gil B, Coll E, Fernandez-Ruiz M, et al. COVID-19 in Spain: Transplantation in the midst of the pandemic. Am J Transplant 2020;20:2593-2598
  8. Valdes E, Agarwal S, Carroll E, et al. Special considerations in the assessment of catastrophic brain injury and determination of brain death in patients with SARS-CoV-2. J Neurol Sci 2020;417:117087
  9. Kates OS, Fisher CE, Rakita RM, Reyes JD, Limaye AP. Use of SARS-CoV-2 infected deceased organ donors: Should we always “just say no?”. Am J Transplant 2020
  10. Picard C, Le Pavec J, Tissot A, Groupe Transplantation Pulmonaire de la Societe de Pneumologie de Langue Francaise SPLF. Impact of the COVID-19 pandemic and lung transplantation program in France. Respir Med Res 2020;78:100758
  11. Arsava EM, Demirkaya Ş, Dora B, et al. Turkish Neurological Society- Diagnostic guidelines for brain death. Turk J Neurol 2014;20:101-104
  12. Greer DM, Shemie SD, Lewis A, et al. Determination of brain death/death by neurologic criteria: the World Brain Death Project. JAMA 2020;324:1078- 1097
  13. Kirschen MP, McGowan N, Topjian A. Brain death evaluation in children with suspected or confirmed Coronavirus disease 2019. Pediatr Crit Care Med 2020. doi: 10.1097/PCC.0000000000002650. Online ahead of print.