TY - T1的循证指南更新:确定脑死亡成人JF -神经学乔-神经病学SP - 1911 LP - 1918 - 10.1212 / WNL。首页0 b013e3181e242a8六世- 74 - 23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Y1 - 2010/06/08 UR - //www.ez-admanager.com/content/74/23/1911.abstr首页act N2 -目标: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?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电动机运动和通风机的假阳性触发可能发生在脑死亡的病人。 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. ER -