Recent advance in apnea test in adult brain death
10.3760/cma.j.cn115354-20221202-00877
- VernacularTitle:成人脑死亡自主呼吸激发试验的研究进展
- Author:
Lin HAN
1
;
Yanjuan WANG
;
Haifeng WANG
;
Wenchen LI
Author Information
1. 吉林大学第一医院神经创伤外科,长春 130021
- Keywords:
Apnea test;
Brain death;
Adult
- From:
Chinese Journal of Neuromedicine
2023;22(7):740-746
- CountryChina
- Language:Chinese
-
Abstract:
Apnea test (AT) is a key step in the diagnosis of adult brain death, which provides important basis for the loss of brainstem function in patients with adult brain death. In recent years, with extensive development of adult brain death determination and organ donation transplantation, discussion and research of AT have been gradually promoted. In formulation of adult brain death criteria, countries have paid more attention to the standardization and normalization of AT implementation, and medical staffs have improved the AT implementation process. This article reviews the current AT implementation standards, conventional AT procedures and complications, modified AT exploration, AT implementation with extracorporeal membrane oxygenation, and treatments and auxiliary examinations after AT failure, in order to deepen the understanding and cognition of adult brain death determination physicians on AT, and promote AT development in a more standardized and orderly way.