Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-12

12_Brain Death

Pdf Summary

Dr. Andrew Naidech's presentation at the 2024 Society of Critical Care Medicine focused on Death by Neurologic Criteria. The term "Death by Neurologic Criteria" is preferred over "brain death" by many in the medical field to avoid giving false hope. It originated from the need for organ transplantation, with criteria established in 1968 at Harvard. Testing for Death by Neurologic Criteria involves various neurological exams and excludes spinal cord reflexes, as death in this context refers to the brain stem. Apnea testing is used to confirm brain death. Communication with families during the evaluation process is crucial, and recent guidelines state that consent is not required for evaluation. In a study, families present during the evaluation demonstrated better understanding. Ancillary tests may be used if a physical exam is not possible. The case of Jahi McMath, a girl supported for years after being pronounced brain dead, highlights the complexity of these cases. The key takeaway is that Death by Neurologic Criteria signifies permanent brain function loss, necessitating clear communication with families and proper testing procedures.

Keywords

Death by Neurologic Criteria

brain death

organ transplantation

neurological exams

apnea testing

family communication

evaluation guidelines

ancillary tests

Jahi McMath

brain function loss

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