Importance of Testing for Apnea in the Diagnosis of Brain Death

Importance of Testing for Apnea in the Diagnosis of Brain Death

We tried to evaluate 2 patients both in deep coma and on ventilator, using the Criteria for Brain Death by the Japanese Ministry of Public Welfare. One was a 17 year-old boy with head injury from a traffic accident and the other was a 31 year-old female resuscitated from 20min of cardiac arrest. In...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Nihon Rinshō Masui Gakkai shi 1988/05/15, Vol.8(3), pp.279-283
Hauptverfasser: ARAI, Tatsuru, HAMAMI, Gen, TABO, Etsuo
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 283
container_issue 3
container_start_page 279
container_title Nihon Rinshō Masui Gakkai shi
container_volume 8
creator ARAI, Tatsuru
HAMAMI, Gen
TABO, Etsuo
description We tried to evaluate 2 patients both in deep coma and on ventilator, using the Criteria for Brain Death by the Japanese Ministry of Public Welfare. One was a 17 year-old boy with head injury from a traffic accident and the other was a 31 year-old female resuscitated from 20min of cardiac arrest. In the first patient brain death was diagnosed without any problems. In the 2nd patient, during apneic test the PO2 decreased from 330mmHg (FIO2 1.0) to 90mmHg in 2min, so the test had to be discontinued. The rapidity in the decrease of PO2 was, we assume, due to instability of the patinet's respiratory system. This means that everything possible, a prerequisite for the testing of brain death, may not have been carried out. In this paper we discussed the importance of testing for apnea in the diagnosis of brain death in detail.
doi_str_mv 10.2199/jjsca.8.279
format Article
fullrecord <record><control><sourceid>jstage_cross</sourceid><recordid>TN_cdi_crossref_primary_10_2199_jjsca_8_279</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>article_jjsca1981_8_3_8_3_279_article_char_en</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1909-daa3f35427701fd143896d7e160dc8aa6893fe2c31dca307e79a657338a9f1813</originalsourceid><addsrcrecordid>eNo9z01rAjEQBuBQWqhYT_0DuZe1mU12kzkVq_0QhF7sOUyziUZ0V5K99N931eJhGJh5ZuBl7BHEtATE590uO5qaaanxho1AKiwQFN6ykShNVShU1T2b5Bx_hCiVURLrEXtZHo5d6ql1nneBr33uY7vhoUt8dmw98djyfuv5ItKm7XLMJ_WaaBgvPPXbB3YXaJ_95L-P2ff723r-Way-Ppbz2apwgAKLhkgGWalSawGhASUN1o32UIvGGaLaoAy-dBIaR1Jor5HqSktpCAMYkGP2dPnrUpdz8sEeUzxQ-rUg7Cm-Pce3xg7xBz2_6F3uaeOvllIf3d5fLKCBwctzDVfXrdtSsr6VfyoeZTM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Importance of Testing for Apnea in the Diagnosis of Brain Death</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>ARAI, Tatsuru ; HAMAMI, Gen ; TABO, Etsuo</creator><creatorcontrib>ARAI, Tatsuru ; HAMAMI, Gen ; TABO, Etsuo</creatorcontrib><description>We tried to evaluate 2 patients both in deep coma and on ventilator, using the Criteria for Brain Death by the Japanese Ministry of Public Welfare. One was a 17 year-old boy with head injury from a traffic accident and the other was a 31 year-old female resuscitated from 20min of cardiac arrest. In the first patient brain death was diagnosed without any problems. In the 2nd patient, during apneic test the PO2 decreased from 330mmHg (FIO2 1.0) to 90mmHg in 2min, so the test had to be discontinued. The rapidity in the decrease of PO2 was, we assume, due to instability of the patinet's respiratory system. This means that everything possible, a prerequisite for the testing of brain death, may not have been carried out. In this paper we discussed the importance of testing for apnea in the diagnosis of brain death in detail.</description><identifier>ISSN: 0285-4945</identifier><identifier>EISSN: 1349-9149</identifier><identifier>DOI: 10.2199/jjsca.8.279</identifier><language>eng</language><publisher>THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA</publisher><ispartof>THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA, 1988/05/15, Vol.8(3), pp.279-283</ispartof><rights>The Japan Society for Clinical Anesthesia</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids></links><search><creatorcontrib>ARAI, Tatsuru</creatorcontrib><creatorcontrib>HAMAMI, Gen</creatorcontrib><creatorcontrib>TABO, Etsuo</creatorcontrib><title>Importance of Testing for Apnea in the Diagnosis of Brain Death</title><title>Nihon Rinshō Masui Gakkai shi</title><addtitle>JJSCA</addtitle><description>We tried to evaluate 2 patients both in deep coma and on ventilator, using the Criteria for Brain Death by the Japanese Ministry of Public Welfare. One was a 17 year-old boy with head injury from a traffic accident and the other was a 31 year-old female resuscitated from 20min of cardiac arrest. In the first patient brain death was diagnosed without any problems. In the 2nd patient, during apneic test the PO2 decreased from 330mmHg (FIO2 1.0) to 90mmHg in 2min, so the test had to be discontinued. The rapidity in the decrease of PO2 was, we assume, due to instability of the patinet's respiratory system. This means that everything possible, a prerequisite for the testing of brain death, may not have been carried out. In this paper we discussed the importance of testing for apnea in the diagnosis of brain death in detail.</description><issn>0285-4945</issn><issn>1349-9149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><recordid>eNo9z01rAjEQBuBQWqhYT_0DuZe1mU12kzkVq_0QhF7sOUyziUZ0V5K99N931eJhGJh5ZuBl7BHEtATE590uO5qaaanxho1AKiwQFN6ykShNVShU1T2b5Bx_hCiVURLrEXtZHo5d6ql1nneBr33uY7vhoUt8dmw98djyfuv5ItKm7XLMJ_WaaBgvPPXbB3YXaJ_95L-P2ff723r-Way-Ppbz2apwgAKLhkgGWalSawGhASUN1o32UIvGGaLaoAy-dBIaR1Jor5HqSktpCAMYkGP2dPnrUpdz8sEeUzxQ-rUg7Cm-Pce3xg7xBz2_6F3uaeOvllIf3d5fLKCBwctzDVfXrdtSsr6VfyoeZTM</recordid><startdate>1988</startdate><enddate>1988</enddate><creator>ARAI, Tatsuru</creator><creator>HAMAMI, Gen</creator><creator>TABO, Etsuo</creator><general>THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1988</creationdate><title>Importance of Testing for Apnea in the Diagnosis of Brain Death</title><author>ARAI, Tatsuru ; HAMAMI, Gen ; TABO, Etsuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1909-daa3f35427701fd143896d7e160dc8aa6893fe2c31dca307e79a657338a9f1813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><toplevel>online_resources</toplevel><creatorcontrib>ARAI, Tatsuru</creatorcontrib><creatorcontrib>HAMAMI, Gen</creatorcontrib><creatorcontrib>TABO, Etsuo</creatorcontrib><collection>CrossRef</collection><jtitle>Nihon Rinshō Masui Gakkai shi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ARAI, Tatsuru</au><au>HAMAMI, Gen</au><au>TABO, Etsuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Importance of Testing for Apnea in the Diagnosis of Brain Death</atitle><jtitle>Nihon Rinshō Masui Gakkai shi</jtitle><addtitle>JJSCA</addtitle><date>1988</date><risdate>1988</risdate><volume>8</volume><issue>3</issue><spage>279</spage><epage>283</epage><pages>279-283</pages><issn>0285-4945</issn><eissn>1349-9149</eissn><abstract>We tried to evaluate 2 patients both in deep coma and on ventilator, using the Criteria for Brain Death by the Japanese Ministry of Public Welfare. One was a 17 year-old boy with head injury from a traffic accident and the other was a 31 year-old female resuscitated from 20min of cardiac arrest. In the first patient brain death was diagnosed without any problems. In the 2nd patient, during apneic test the PO2 decreased from 330mmHg (FIO2 1.0) to 90mmHg in 2min, so the test had to be discontinued. The rapidity in the decrease of PO2 was, we assume, due to instability of the patinet's respiratory system. This means that everything possible, a prerequisite for the testing of brain death, may not have been carried out. In this paper we discussed the importance of testing for apnea in the diagnosis of brain death in detail.</abstract><pub>THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA</pub><doi>10.2199/jjsca.8.279</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0285-4945
ispartof THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA, 1988/05/15, Vol.8(3), pp.279-283
issn 0285-4945
1349-9149
language eng
recordid cdi_crossref_primary_10_2199_jjsca_8_279
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
title Importance of Testing for Apnea in the Diagnosis of Brain Death
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T00%3A29%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstage_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Importance%20of%20Testing%20for%20Apnea%20in%20the%20Diagnosis%20of%20Brain%20Death&rft.jtitle=Nihon%20Rinsh%C5%8D%20Masui%20Gakkai%20shi&rft.au=ARAI,%20Tatsuru&rft.date=1988&rft.volume=8&rft.issue=3&rft.spage=279&rft.epage=283&rft.pages=279-283&rft.issn=0285-4945&rft.eissn=1349-9149&rft_id=info:doi/10.2199/jjsca.8.279&rft_dat=%3Cjstage_cross%3Earticle_jjsca1981_8_3_8_3_279_article_char_en%3C/jstage_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true