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YOĞUN BAKIM ÜNİTELERİNDE BEYİN ÖLÜMÜNÜN TEŞHİSİ-Detection of Brain Death in Intensive Care Units

Year 2014, Volume: 21 Issue: 4, 158 - 162, 30.12.2014

Abstract

Ülkemizde uygun organ temininde yetersizlik sonucu organ nakli bekleyen hastaların listesi gün geçtikçe uzamakta, böylece organ nakil programında bulunan birçok hasta nakil beklerken kaybedilmektedir. Ülkemizde organ nakli ile ilgili en önemli sorunlardan biri beyin ölümünün teşhis sürecinin doğru ve bilinçli olarak yönetilememesidir. Böylece hem uygun donör bulunma olasılığı azalmakta hem de beyin ölümü gerçekleşmiş olan hastanın gereksiz yere yoğun bakımı işgal etme süreci uzamaktadır. Bu derlemede beyin ölümü teşhisi ile ilgili kısa ve öz bilgiler verilmesi ve böylece beyin ölümü teşhisi hususuna Türkçe literatüre bir katkı sağlanması amaçlandı.

References

  • Shewmon DA. The dead donor rule: lessons from linguistics? Kennedy Inst Ethics J. 2004;14(3):277-300.
  • Mollaret P, Goulon M. [The depassed coma (preliminary memoir)]. Rev Neurol (Paris). 1959;101:3-15.
  • A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. JAMA. 1968;205(6):337-340.
  • Mohandas A, Chou SN. Brain death. A clinical and pathological study. J Neurosurg. 1971;35(2):211-218.
  • Diagnosis of brain death. Statement issued by the honorary secretary of the Conference of Medical Royal Colleges and their Faculties in the United Kingdom on 11 October 1976. Br Med J. 1976;2(6045):1187-1188.
  • Guidelines for the determination of death. Report of the medical consultants on the diagnosis of death to the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. JAMA. 1981;246(19):2184-2186.
  • Haupt WF, Rudolf J. European brain death codes: a comparison of national guidelines. J Neurol. 1999;246(6):432-437.
  • Wijdicks EF. Brain death worldwide: accepted fact but no global consensus in diagnostic criteria. Neurology. 2002;58(1):20-25.
  • Sullivan J, Seem DL, Chabalewski F. Determining brain death. Crit Care Nurse. 1999;19(2):37-9, 41-6.
  • Practice parameters for determining brain death in adults (summary statement). The Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 1995;45(5):1012-1014.
  • Gotay-Cruz F, Fernández-Sein A. Pediatric experience with brain death determination. P R Health Sci J. 2002;21(1):11-15.
  • Bevan DR. The future of academic anesthesia departments in Canada. Can J Anaesth. 2006;53(6):533-539.
  • Burger R, Schlake HP, Seybold S, Reiners C, Bendszus M, Roosen K. [Value of transcranial doppler ultrasonography compared with scintigraphic techniques and EEG in brain death]. Zentralbl Neurochir. 2000;61(1):7-13. 14. Buchner H, Schuchardt V. Reliability of electroencephalogram in the diagnosis of brain death. Eur Neurol. 1990;30(3):138-141.

Detection of brain death in intensive care units

Year 2014, Volume: 21 Issue: 4, 158 - 162, 30.12.2014

Abstract

The number of patients, who are waiting for transplantation, increases day by day in Turkey. Therefore, most of these patients die at transplantation process. One of the main problems regarding transplantation process is poor management of the detection of brain death. This problem leads to both a decrease of possible appropriate donor and unnecessary obstruction of intensive care unit beds. This review aimed to give short and essential knowledge about the detection of brain death, and to add a data to Turkish literature

References

  • Shewmon DA. The dead donor rule: lessons from linguistics? Kennedy Inst Ethics J. 2004;14(3):277-300.
  • Mollaret P, Goulon M. [The depassed coma (preliminary memoir)]. Rev Neurol (Paris). 1959;101:3-15.
  • A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. JAMA. 1968;205(6):337-340.
  • Mohandas A, Chou SN. Brain death. A clinical and pathological study. J Neurosurg. 1971;35(2):211-218.
  • Diagnosis of brain death. Statement issued by the honorary secretary of the Conference of Medical Royal Colleges and their Faculties in the United Kingdom on 11 October 1976. Br Med J. 1976;2(6045):1187-1188.
  • Guidelines for the determination of death. Report of the medical consultants on the diagnosis of death to the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. JAMA. 1981;246(19):2184-2186.
  • Haupt WF, Rudolf J. European brain death codes: a comparison of national guidelines. J Neurol. 1999;246(6):432-437.
  • Wijdicks EF. Brain death worldwide: accepted fact but no global consensus in diagnostic criteria. Neurology. 2002;58(1):20-25.
  • Sullivan J, Seem DL, Chabalewski F. Determining brain death. Crit Care Nurse. 1999;19(2):37-9, 41-6.
  • Practice parameters for determining brain death in adults (summary statement). The Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 1995;45(5):1012-1014.
  • Gotay-Cruz F, Fernández-Sein A. Pediatric experience with brain death determination. P R Health Sci J. 2002;21(1):11-15.
  • Bevan DR. The future of academic anesthesia departments in Canada. Can J Anaesth. 2006;53(6):533-539.
  • Burger R, Schlake HP, Seybold S, Reiners C, Bendszus M, Roosen K. [Value of transcranial doppler ultrasonography compared with scintigraphic techniques and EEG in brain death]. Zentralbl Neurochir. 2000;61(1):7-13. 14. Buchner H, Schuchardt V. Reliability of electroencephalogram in the diagnosis of brain death. Eur Neurol. 1990;30(3):138-141.
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Reviews
Authors

Ayşen Erdoğan

Publication Date December 30, 2014
Submission Date November 15, 2012
Published in Issue Year 2014 Volume: 21 Issue: 4

Cite

Vancouver Erdoğan A. YOĞUN BAKIM ÜNİTELERİNDE BEYİN ÖLÜMÜNÜN TEŞHİSİ-Detection of Brain Death in Intensive Care Units. Med J SDU. 2014;21(4):158-62.

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