Apnea test for the diagnosis of brain death in a patient undergoing extracorporeal membrane oxygenation.
Viviane Cordeiro VeigaLigia Maria Coscrato Junqueira SilvaErica Regina Ribeiro SadyPriscila Valente FernandesSalomón Soriano Ordinola RojasPublished in: Revista Brasileira de terapia intensiva (2021)
Extracorporeal membrane oxygenation is used as extracirculatory support for the care of patients with severe and reversible cardiac and/or respiratory failure. Neurological complications may be related to the procedure. Given the unfavorable neurological evolution and the need to perform a brain death protocol, the performance of an apnea test in this context remains a challenge. We report the use of an apnea test for the diagnosis of brain death post-cardiac surgery in a patient receiving venoarterial extracorporeal membrane oxygenation.
Keyphrases
- extracorporeal membrane oxygenation
- respiratory failure
- acute respiratory distress syndrome
- obstructive sleep apnea
- resting state
- white matter
- cerebral ischemia
- cardiac surgery
- case report
- functional connectivity
- healthcare
- positive airway pressure
- randomized controlled trial
- mechanical ventilation
- palliative care
- minimally invasive
- heart failure
- brain injury
- blood brain barrier
- sleep apnea