Year 2020, Volume 6 , Issue 6, Pages 655 - 660 2020-11-04

An approach to diagnosing brain death in patients undergoing extracorporeal membrane oxygenation

Savaş ALTINSOY [1] , İlkay BARAN AKKUŞ [2] , Sibel ÇATALCA [3] , Fatma KAVAK AKELMA [4] , Ceyda ÖZHAN ÇAPARLAR [5] , Jülide ERGİL [6]


Objectives: This study was intended to discuss the process of brain death diagnosis of patients undergoing extracorporeal membrane oxygenation (ECMO) and our approach regarding the existing literature.

Methods: Demographics data (age, gender, admission diagnosis) were noted. ECMO type applied (veno-venous or veno-arterial), time of diagnosing brain death (the time from admission time till diagnosis), being a donor or not, apnea testing application, supplementary tests applied at diagnosis stage (cerebral angiography, computerized tomography angiography, electroencephalography, transcranial doppler ultrasonography), and time of cardiac death (the time elapsing from the moment of brain death diagnosis till cardiac arrest) were noted.

Results: Forty-two patients data were exaimed and ECMO was applied to 8 patients, 4 of whom are female and the others are male. The average age of the patients is 61.8 ± 9.8 years. The average time elapsing from the hospitalization till brain death diagnosis was 2.5 ± 0.5 days. Apart from that, only 2 (25%) of the patients were donors.

Conclusions: The use of modified apnea testing on patients undergoing ECMO could be proliferated if such tests are standardized and reliable guidelines are set. For this reason, we think that cerebral angiography should be kept in mind in addition to apnea test especially on ECMO-treated patients. 

Apnea test, apnea test, extracorporeal membrane oxygenation, cerebral angiography
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Primary Language en
Subjects Anesthesiology, Critical Care Medicine
Journal Section Original Articles
Authors

Orcid: 0000-0002-3588-7145
Author: Savaş ALTINSOY (Primary Author)
Institution: Department of Anesthesiology and Reanimation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0001-9355-5950
Author: İlkay BARAN AKKUŞ
Institution: Department of Anesthesiology and Reanimation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-8899-1106
Author: Sibel ÇATALCA
Institution: Department of Anesthesiology and Reanimation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0003-3647-7516
Author: Fatma KAVAK AKELMA
Institution: Department of Anesthesiology and Reanimation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0001-5306-1956
Author: Ceyda ÖZHAN ÇAPARLAR
Institution: Department of Anesthesiology and Reanimation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-4580-7866
Author: Jülide ERGİL
Institution: Department of Anesthesiology and Reanimation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Country: Turkey


Dates

Application Date : September 27, 2019
Acceptance Date : October 23, 2019
Publication Date : November 4, 2020

EndNote %0 The European Research Journal An approach to diagnosing brain death in patients undergoing extracorporeal membrane oxygenation %A Savaş Altınsoy , İlkay Baran Akkuş , Sibel Çatalca , Fatma Kavak Akelma , Ceyda Özhan Çaparlar , Jülide Ergi̇l %T An approach to diagnosing brain death in patients undergoing extracorporeal membrane oxygenation %D 2020 %J The European Research Journal %P -2149-3189 %V 6 %N 6 %R doi: 10.18621/eurj.626159 %U 10.18621/eurj.626159