Determination of Brain Death/Death by Neurologic Criteria: The World Brain Death Project.

@article{Greer2020DeterminationOB,
  title={Determination of Brain Death/Death by Neurologic Criteria: The World Brain Death Project.},
  author={David M. Greer and Sam D. Shemie and Ariane Lewis and Sylvia Torrance and Panayiotis N. Varelas and Fernando D. Goldenberg and James L. Bernat and Michael J. Souter and Mehmet Akif Topcuoglu and Anne W. Alexandrov and Marie R. Baldisseri and Thomas P. Bleck and Giuseppe Citerio and Rosanne Dawson and Arnold Hoppe and Stephen J. Jacobe and Alex R Manara and Thomas A. Nakagawa and Thaddeus Mason Pope and William Silvester and David Thomson and Hussain N Al Rahma and Rafael Badenes and Andrew J. Baker and Vladim{\'i}r {\vC}ern{\'y} and Cherylee W. J. Chang and Tiffany R. Chang and Elena V. Gnedovskaya and Moon‐Ku Han and Stephen Honeybul and Edgar Jimenez and Yasuhiro Kuroda and Gang Liu and Uzzwal Kumar Mallick and Victoria Marquevich and Jorge Humberto Mejia-Mantilla and Michael A. Piradov and Sarah Quayyum and Gentle Sunder Shrestha and Yingying Su and Shelly D Timmons and J. Teitelbaum and Walter Videtta and Kapil G Zirpe and Gene Sung},
  journal={JAMA},
  year={2020}
}
Importance There are inconsistencies in concept, criteria, practice, and documentation of brain death/death by neurologic criteria (BD/DNC) both internationally and within countries. Objective To formulate a consensus statement of recommendations on determination of BD/DNC based on review of the literature and expert opinion of a large multidisciplinary, international panel. Process Relevant international professional societies were recruited to develop recommendations regarding… Expand
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There is uniform agreement on the neurologic examination with exception of the apnea test, however, this survey found other major differences in the procedures for diagnosing brain death in adults. Expand
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There is insufficient evidence to determine the minimally acceptable observation period to ensure that neurologic functions have ceased irreversibly and if newer ancillary tests accurately confirm the cessation of function of the entire brain. Expand
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TLDR
There is considerable variability in BD/DNC determination protocols around the world and it is recommended that a worldwide consensus be reached on the minimum standards for BD/ DNC. Expand
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TLDR
It is argued that medical societies and governmental regulatory bodies must support the AAN criteria in order to decrease protocol variability, and must fully endorse the validity of these criteria as accepted medical standards. Expand
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TLDR
There is a call for improved documentation, better uniformity of policies, and comprehensive and strategically targeted educational initiatives to ensure consistently contemporary approaches to BD determination in every patient. Expand
Variability in Diagnosing Brain Death at an Academic Medical Center
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The study shows wide variability in diagnosing brain death, which led us to update the authors' death by neurological criteria policy and increase awareness of brain death determination with the goal of improving their documentation following current AAN guidelines. Expand
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