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Neurocritical Care

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01-04-2014 | Practical Pearl

Apnea Testing for Brain Death in Severe Acute Respiratory Distress Syndrome: A Possible Solution

Authors: Sara Hocker, Francis Whalen, Eelco F. M. Wijdicks

Published in: Neurocritical Care | Issue 2/2014

Abstract

Introduction

A 42-year-old man with a subarachnoid hemorrhage complicated by anoxic brain injury, respiratory failure requiring mechanical ventilation, and severe acute respiratory distress syndrome (ARDS) presented a clinical conundrum for safe apnea testing in brain death determination due to profound hypoxemia.

Methods

Case report.

Results

During brain death examination, despite meeting criteria for severe ARDS, apnea testing was successfully completed with the use of a pretest recruitment maneuver and 20 cm H₂O CPAP valve.

Conclusion

A recruitment maneuver and CPAP valve may be used in severe ARDS for safe apnea testing in brain death determination.

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Title: Apnea Testing for Brain Death in Severe Acute Respiratory Distress Syndrome: A Possible Solution
Authors: Sara Hocker
Francis Whalen
Eelco F. M. Wijdicks
Publication date: 01-04-2014
Publisher: Springer US
Published in: Neurocritical Care / Issue 2/2014
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-013-9932-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Apnea Testing for Brain Death in Severe Acute Respiratory Distress Syndrome: A Possible Solution

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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