Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature

Coma, absent brain stem reflexes, and apnea are considered the neurological criteria of brain death. As membrane oxygenator does almost entire gas exchange in patients with severely diseased lungs who are on extracorporeal membrane oxygenation (ECMO), it is not possible to carry out apnea test in ro...

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Autores principales: Sahu, Manoj Kumar, Vaswani, Prateek, Bipin, Chalattil, Singh, Sarvesh Pal, Hadda, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462103/
https://www.ncbi.nlm.nih.gov/pubmed/32904971
http://dx.doi.org/10.1007/s12055-020-01008-w
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author Sahu, Manoj Kumar
Vaswani, Prateek
Bipin, Chalattil
Singh, Sarvesh Pal
Hadda, Vijay
author_facet Sahu, Manoj Kumar
Vaswani, Prateek
Bipin, Chalattil
Singh, Sarvesh Pal
Hadda, Vijay
author_sort Sahu, Manoj Kumar
collection PubMed
description Coma, absent brain stem reflexes, and apnea are considered the neurological criteria of brain death. As membrane oxygenator does almost entire gas exchange in patients with severely diseased lungs who are on extracorporeal membrane oxygenation (ECMO), it is not possible to carry out apnea test in routine manner. We described the difficulties we faced conducting the apnea test and the other ancillary tests in our patient on veno-venous ECMO who suffered a major cerebral insult and reviewed the literature of brain death testing in patients on ECMO.
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spelling pubmed-74621032020-09-02 Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature Sahu, Manoj Kumar Vaswani, Prateek Bipin, Chalattil Singh, Sarvesh Pal Hadda, Vijay Indian J Thorac Cardiovasc Surg Case Report Coma, absent brain stem reflexes, and apnea are considered the neurological criteria of brain death. As membrane oxygenator does almost entire gas exchange in patients with severely diseased lungs who are on extracorporeal membrane oxygenation (ECMO), it is not possible to carry out apnea test in routine manner. We described the difficulties we faced conducting the apnea test and the other ancillary tests in our patient on veno-venous ECMO who suffered a major cerebral insult and reviewed the literature of brain death testing in patients on ECMO. Springer Singapore 2020-09-01 2021-03 /pmc/articles/PMC7462103/ /pubmed/32904971 http://dx.doi.org/10.1007/s12055-020-01008-w Text en © Indian Association of Cardiovascular-Thoracic Surgeons 2020
spellingShingle Case Report
Sahu, Manoj Kumar
Vaswani, Prateek
Bipin, Chalattil
Singh, Sarvesh Pal
Hadda, Vijay
Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature
title Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature
title_full Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature
title_fullStr Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature
title_full_unstemmed Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature
title_short Enigma of apnea test for brain death on ECMO—an ongoing discussion—case study and review of literature
title_sort enigma of apnea test for brain death on ecmo—an ongoing discussion—case study and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462103/
https://www.ncbi.nlm.nih.gov/pubmed/32904971
http://dx.doi.org/10.1007/s12055-020-01008-w
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