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Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific

BACKGROUND AND PURPOSE: We sought to 1) identify countries in Asia and the Pacific that have protocols for the determination of brain death/death by neurologic criteria (BD/DNC) and 2) review the similarities and differences of these protocols in different countries. METHODS: Between January 2018 an...

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Autores principales: Lewis, Ariane, Liebman, Jordan, Bakkar, Azza, Kreiger-Benson, Elana, Kumpfbeck, Andrew, Shemie, Sam D., Sung, Gene, Torrance, Sylvia, Greer, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurological Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7354977/
https://www.ncbi.nlm.nih.gov/pubmed/32657070
http://dx.doi.org/10.3988/jcn.2020.16.3.480
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author Lewis, Ariane
Liebman, Jordan
Bakkar, Azza
Kreiger-Benson, Elana
Kumpfbeck, Andrew
Shemie, Sam D.
Sung, Gene
Torrance, Sylvia
Greer, David
author_facet Lewis, Ariane
Liebman, Jordan
Bakkar, Azza
Kreiger-Benson, Elana
Kumpfbeck, Andrew
Shemie, Sam D.
Sung, Gene
Torrance, Sylvia
Greer, David
author_sort Lewis, Ariane
collection PubMed
description BACKGROUND AND PURPOSE: We sought to 1) identify countries in Asia and the Pacific that have protocols for the determination of brain death/death by neurologic criteria (BD/DNC) and 2) review the similarities and differences of these protocols in different countries. METHODS: Between January 2018 and April 2019, we attempted to communicate with contacts in the 57 countries in Asia and the Pacific to determine if they had official national BD/DNC protocols. We reviewed and compared the identified protocols. RESULTS: We identified contacts for 40 (70%) of the 57 countries in Asia and the Pacific, and successfully communicated with 37 of them (93% of countries with contacts identified, 65% of countries in Asia and the Pacific). We found that 24 of the 37 countries had BD/DNC protocols. Two (13%) of the 16 protocols that provided a definition of death referred to brainstem death. Kazakhstan and Israel required only 1 examination to declare BD/DNC, while 10 (71%) of the other 14 protocols required 2 examinations separated by 6–48 hours. The prerequisites, clinical examination, apnea testing procedure, and indications for/selection of ancillary tests varied. Ancillary testing was required for all determinations of BD/DNC in five (21%) countries. Thirteen (54%) of the protocols included information about the time of death, while 12 (50%) of them provided instructions about discontinuation of organ support. CONCLUSIONS: The protocols for conducting a BD/DNC determination vary markedly among countries in Asia and the Pacific. Since it is optimal to have internationally and intranationally consistent BD/DNC protocols, efforts should be made to harmonize protocols both within this region and worldwide.
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spelling pubmed-73549772020-07-22 Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific Lewis, Ariane Liebman, Jordan Bakkar, Azza Kreiger-Benson, Elana Kumpfbeck, Andrew Shemie, Sam D. Sung, Gene Torrance, Sylvia Greer, David J Clin Neurol Original Article BACKGROUND AND PURPOSE: We sought to 1) identify countries in Asia and the Pacific that have protocols for the determination of brain death/death by neurologic criteria (BD/DNC) and 2) review the similarities and differences of these protocols in different countries. METHODS: Between January 2018 and April 2019, we attempted to communicate with contacts in the 57 countries in Asia and the Pacific to determine if they had official national BD/DNC protocols. We reviewed and compared the identified protocols. RESULTS: We identified contacts for 40 (70%) of the 57 countries in Asia and the Pacific, and successfully communicated with 37 of them (93% of countries with contacts identified, 65% of countries in Asia and the Pacific). We found that 24 of the 37 countries had BD/DNC protocols. Two (13%) of the 16 protocols that provided a definition of death referred to brainstem death. Kazakhstan and Israel required only 1 examination to declare BD/DNC, while 10 (71%) of the other 14 protocols required 2 examinations separated by 6–48 hours. The prerequisites, clinical examination, apnea testing procedure, and indications for/selection of ancillary tests varied. Ancillary testing was required for all determinations of BD/DNC in five (21%) countries. Thirteen (54%) of the protocols included information about the time of death, while 12 (50%) of them provided instructions about discontinuation of organ support. CONCLUSIONS: The protocols for conducting a BD/DNC determination vary markedly among countries in Asia and the Pacific. Since it is optimal to have internationally and intranationally consistent BD/DNC protocols, efforts should be made to harmonize protocols both within this region and worldwide. Korean Neurological Association 2020-07 2020-07-01 /pmc/articles/PMC7354977/ /pubmed/32657070 http://dx.doi.org/10.3988/jcn.2020.16.3.480 Text en Copyright © 2020 Korean Neurological Association http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lewis, Ariane
Liebman, Jordan
Bakkar, Azza
Kreiger-Benson, Elana
Kumpfbeck, Andrew
Shemie, Sam D.
Sung, Gene
Torrance, Sylvia
Greer, David
Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific
title Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific
title_full Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific
title_fullStr Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific
title_full_unstemmed Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific
title_short Determination of Brain Death/Death by Neurologic Criteria in Countries in Asia and the Pacific
title_sort determination of brain death/death by neurologic criteria in countries in asia and the pacific
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7354977/
https://www.ncbi.nlm.nih.gov/pubmed/32657070
http://dx.doi.org/10.3988/jcn.2020.16.3.480
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