Back to Search
Start Over
Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study
- Source :
- Critical Care, Vol 22, Iss 1, Pp 1-11 (2018), Critical Care, 22:306. BioMed Central Ltd., Critical Care, Blaabjerg, M, Rosenlund, C & CENTER-TBI investigators and participants 2018, ' Brain death and postmortem organ donation : report of a questionnaire from the CENTER-TBI study ', Critical Care, vol. 22, no. 1, 306, pp. 1-11 . https://doi.org/10.1186/s13054-018-2241-4, Critical Care, 22, 1, pp. 306, Critical Care, 22:306. BioMed Central Ltd, Critical Care, 22, 306, Critical care, London : BioMed central, 2018, vol. 22, iss. 1, art. no. 306, p. 1-11, Critical care, 22:306. BMC, Critical Care, 22, Critical Care, London : BioMed Central, 2018, vol. 22, iss. 1, art. no. 306, p. 1-11, Critical care, 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, Ylén, P & CENTER-TBI investigators and participants 2018, ' Brain death and postmortem organ donation : Report of a questionnaire from the CENTER-TBI study ', Critical Care, vol. 22, no. 1, 306 . https://doi.org/10.1186/s13054-018-2241-4
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Source at https://doi.org/10.1186/s13054-018-2241-4. Licensed CC BY-NC-ND 4.0. Background: We aimed to investigate the extent of the agreement on practices around brain death and postmortem organ donation. Methods: Investigators from 67 Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study centers completed several questionnaires (response rate: 99%). Results: Regarding 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. Conclusions: This 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.
- Subjects :
- Neurology
Internationality
Traumatic/complications
brain death
ethics
postmortem organ donation
traumatic brain injury
ventricular drainage
withdrawing life-sustaining measures
GUIDELINES
Critical Care and Intensive Care Medicine
0302 clinical medicine
Traumatic brain injury
Trauma Centers
WORLDWIDE
Surveys and Questionnaires
Brain Injuries, Traumatic
Response rate (survey)
Brain death
VDP::Medical disciplines: 700::Clinical medical disciplines: 750
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Tissue and Organ Procurement/legislation & jurisprudence
POLICIES
Europe
VARIABILITY
Neurosurgery
Clinical evaluation
medicine.medical_specialty
Tissue and Organ Procurement
Withdrawing life-sustaining measure
Other Research Radboud Institute for Molecular Life Sciences [Radboudumc 0]
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
Neurological assessment
medicine
Humans
Organ donation
Ethics
Postmortem organ donation
Ventricular drainage
Withdrawing life-sustaining measures
Ethic
business.industry
Research
Brain Injuries, Traumatic/complications
3112 Neurosciences
030208 emergency & critical care medicine
ADULTS
lcsh:RC86-88.9
Traumatic brain injury, Brain death, Ethics, Postmortem organ donation, Withdrawing life-sustaining measures, Ventricular drainage
medicine.disease
3126 Surgery, anesthesiology, intensive care, radiology
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Trauma Centers/organization & administration
Brain Injuries
Emergency medicine
Human medicine
business
030217 neurology & neurosurgery
Regional differences
Subjects
Details
- Language :
- English
- ISSN :
- 13648535 and 1466609X
- Database :
- OpenAIRE
- Journal :
- Critical Care, Vol 22, Iss 1, Pp 1-11 (2018), Critical Care, 22:306. BioMed Central Ltd., Critical Care, Blaabjerg, M, Rosenlund, C & CENTER-TBI investigators and participants 2018, ' Brain death and postmortem organ donation : report of a questionnaire from the CENTER-TBI study ', Critical Care, vol. 22, no. 1, 306, pp. 1-11 . https://doi.org/10.1186/s13054-018-2241-4, Critical Care, 22, 1, pp. 306, Critical Care, 22:306. BioMed Central Ltd, Critical Care, 22, 306, Critical care, London : BioMed central, 2018, vol. 22, iss. 1, art. no. 306, p. 1-11, Critical care, 22:306. BMC, Critical Care, 22, Critical Care, London : BioMed Central, 2018, vol. 22, iss. 1, art. no. 306, p. 1-11, Critical care, 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, Ylén, P & CENTER-TBI investigators and participants 2018, ' Brain death and postmortem organ donation : Report of a questionnaire from the CENTER-TBI study ', Critical Care, vol. 22, no. 1, 306 . https://doi.org/10.1186/s13054-018-2241-4
- Accession number :
- edsair.doi.dedup.....d129e520a55980c72496b228af1863ff