지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 480 - 490 (11page)
이용수
초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
1968 / A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to examine the definition of brain death / JAMA 205:337~340
Gilder SS / 1968 / Twenty-second World Medical Assembly / Br Med J 3:493~494
Wahlster S / 2015 / Brain death declaration : practices and perceptions worldwide / Neurology 84:1870~1879
Wijdicks EF / 2002 / Brain death worldwide : accepted fact but no global consensus in diagnostic criteria / Neurology 58:20~25
Sprung CL / 2014 / Seeking worldwide professional consensus on the principles of endof-life care for the critically ill. The Consensus for Worldwide End-ofLife Practice for Patients in Intensive Care Units (WELPICUS) study / Am J Respir Crit Care Med 190:855~866
Gilder SS / 1968 / Twenty-second World Medical Assembly / Br Med J 3:493~494
Wahlster S / 2015 / Brain death declaration : practices and perceptions worldwide / Neurology 84:1870~1879
Wijdicks EF / 2002 / Brain death worldwide : accepted fact but no global consensus in diagnostic criteria / Neurology 58:20~25
Sprung CL / 2014 / Seeking worldwide professional consensus on the principles of endof-life care for the critically ill. The Consensus for Worldwide End-ofLife Practice for Patients in Intensive Care Units (WELPICUS) study / Am J Respir Crit Care Med 190:855~866
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