Brain death and postmortem organ donation : report of a questionnaire from the CENTER-TBI study

Show full item record



Permalink

http://hdl.handle.net/10138/298657

Citation

CENTER-TBI Investigators , van Veen , E , van der Jagt , M , Cnossen , M C , Maas , A I R , de Beaufort , I D , Menon , D K , Citerio , G , Stocchetti , N , Rietdijk , W J R , van Dijck , J T J M , Kompanje , E J O & Raj , R 2018 , ' Brain death and postmortem organ donation : report of a questionnaire from the CENTER-TBI study ' , Critical Care , vol. 22 , 306 . https://doi.org/10.1186/s13054-018-2241-4

Title: Brain death and postmortem organ donation : report of a questionnaire from the CENTER-TBI study
Author: CENTER-TBI Investigators; van Veen, Ernest; van der Jagt, Mathieu; Cnossen, Maryse C.; Maas, Andrew I. R.; de Beaufort, Inez D.; Menon, David K.; Citerio, Giuseppe; Stocchetti, Nino; Rietdijk, Wim J. R.; van Dijck, Jeroen T. J. M.; Kompanje, Erwin J. O.; Raj, Rahul
Contributor: University of Helsinki, Neurokirurgian yksikkö
Date: 2018-11-16
Language: eng
Number of pages: 11
Belongs to series: Critical Care
ISSN: 1466-609X
URI: http://hdl.handle.net/10138/298657
Abstract: BackgroundWe aimed to investigate the extent of the agreement on practices around brain death and postmortem organ donation.MethodsInvestigators from 67 Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study centers completed several questionnaires (response rate: 99%).ResultsRegarding practices around brain death, we found agreement on the clinical evaluation (prerequisites and neurological assessment) for brain death determination (BDD) in 100% of the centers. However, ancillary tests were required for BDD in 64% of the centers. BDD for nondonor patients was deemed mandatory in 18% of the centers before withdrawing life-sustaining measures (LSM). Also, practices around postmortem organ donation varied. Organ donation after circulatory arrest was forbidden in 45% of the centers. When withdrawal of LSM was contemplated, in 67% of centers the patients with a ventricular drain in situ had this removed, either sometimes or all of the time.ConclusionsThis study showed both agreement and some regional differences regarding practices around brain death and postmortem organ donation. We hope our results help quantify and understand potential differences, and provide impetus for current dialogs toward further harmonization of practices around brain death and postmortem organ donation.
Subject: Traumatic brain injury
Brain death
Ethics
Postmortem organ donation
Withdrawing life-sustaining measures
Ventricular drainage
VARIABILITY
GUIDELINES
ADULTS
WORLDWIDE
POLICIES
3112 Neurosciences
3126 Surgery, anesthesiology, intensive care, radiology
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
s13054_018_2241_4.pdf 429.6Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record