Brain death post cardiac surgery: A modified apnea test to confirm death by neurologic criteria for a patient on extracorporeal membrane oxygenation.
Ali Fatehi HassanabadWilliam T KiddRichard J NovickFrank WarshawskiJulie A KrommPublished in: Journal of cardiac surgery (2022)
Death by neurologic criteria (DNC) requires coma, absent brainstem reflexes, and the inability to breathe independently during apnea testing (AT). For patients on extracorporeal membrane oxygenation (ECMO), this clinical determination is more challenging. Herein, we report the case of a patient with DNC on ECMO post cardiac surgery, highlighting various considerations to the process and modifications required for AT.
Keyphrases
- extracorporeal membrane oxygenation
- cardiac surgery
- acute respiratory distress syndrome
- respiratory failure
- acute kidney injury
- obstructive sleep apnea
- case report
- end stage renal disease
- newly diagnosed
- ejection fraction
- prognostic factors
- multiple sclerosis
- resting state
- functional connectivity
- patient reported
- solid phase extraction
- cerebral ischemia