PT -期刊文章盟Eelco F.M. Wijdicks科盟-帕诺什·n·万利拉盟——加里·s . Gronseth盟——大卫·m·格里尔TI -循证指南更新:确定脑死亡- 10.1212 / WNL成人援助。0 b013e3181e242a8 DP - 2010 6月08年第六TA -首页神经病学PG - 1911 - 1918 - 74 IP - 23 4099 - //www.ez-admanager.com/content/74/23/1911.short 4100 - //www.ez-admanager.com/content/74/23/1911.full所以Neurology2010 08年6月;74 AB -目的:提供一个更新的1995美国神经病学学会的指导关于以下问题:有病人满足临床脑死亡的标准谁恢复神经功能?首页什么是足够的观察期间确保停止神经功能是永久性的吗?是复杂的机动动作错误表明保留脑功能有时在脑死亡?确定呼吸暂停比较安全的方法是什么?有新的辅助测试,准确识别患者脑死亡吗?方法:进行系统的文献检索,包括回顾MEDLINE和EMBASE从1996年1月到2009年5月。研究仅限于成年人。结果和建议:在成人,没有发表的报告后神经功能的恢复使用标准诊断为脑死亡了1995年美国神经病学学会实践参数。首页 Complex-spontaneous motor movements and false-positive triggering of the ventilator may occur in patients who are brain dead. There is insufficient evidence to determine the minimally acceptable observation period to ensure that neurologic functions have ceased irreversibly. Apneic oxygenation diffusion to determine apnea is safe, but there is insufficient evidence to determine the comparative safety of techniques used for apnea testing. There is insufficient evidence to determine if newer ancillary tests accurately confirm the cessation of function of the entire brain. AAN=American Academy of Neurology; CI=confidence interval; CPAP=continuous positive airway pressure; CTA=CT angiography; HMPAO=Tc 99mHexametazime; MRA=magnetic resonance angiography; PEEP=positive end-expiratory pressure; SSEP=somatosensory evoked potential; TCD=transcranial Doppler; UDDA=Uniform Determination of Death Act.