چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Abstract Introduction: Brain-death is the end stage of most illnesses that cause brain injury and decrease oxygenation and circulation of brain tissues. Early determination of brain-death is essential to the prevention of expensive modeling in the pediatric intensive care unit (PICU) and reserving facilities for patients with good prognosis. Apnea test is one of the important brain-death determining methods in clinical evaluation that can be performed easier and faster than other methods. Methods: In a cross-sectional study, 75 patients with brain-death criteria were evaluated from 2003-2011. Apnea testing was fulfilled through standard methods. Patients who did not develop spontaneous respiration at PaCo2 level of 60 mmHg or more were confirmed as brain-dead. Results: Mean age of patients was 40 months. All patients were comatose, without brainstem reflexes. Cause of coma was status epilepticus in most patients. All patients that had a positive apnea test died after a mean duration of 8 days. Conclusion: All other confirmative methods, irrespective of their accuracy, need complex instruments and experienced manpower, and are expensive which makes their preparation impossible in most ICU centers. However, apnea test is a simple prognostic method in braindeath confirmation with 100% accuracy. |
| نویسنده | نفر چندم مقاله |
|---|---|
| نعمت بیلان | اول |
| افشین قلعه گلاب بهبهانی | دوم |
| شادی شیوا | سوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 8.pdf | 1399/08/30 | 174347 | دانلود |
