000			nab a22 7a 4500
999			_c17108 _d17108
003			PC17108
005			20221130142607.0
008			221130b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9874 _aMontejo González, Juan Carlos _eMedicina Intensiva
245	0	0	_aIntensive care practices in brain death diagnosis and organ donation. _h[artículo]
260			_bAnaesthesia, _c2015
300			_a70(10):1130-9.
500			_aFormato Vancouver: Escudero D, Valentín MO, Escalante JL, Sanmartín A, Pérez Basterrechea M, de Gea J et al. Intensive care practices in brain death diagnosis and organ donation. Anaesthesia. 2015 Oct;70(10):1130-9.
501			_aPMID: 26040194
504			_aContiene 46 referencias
520			_aWe conducted a multicentre study of 1844 patients from 42 Spanish intensive care units, and analysed the clinical characteristics of brain death, the use of ancillary testing, and the clinical decisions taken after the diagnosis of brain death. The main cause of brain death was intracerebral haemorrhage (769/1844, 42%), followed by traumatic brain injury (343/1844, 19%) and subarachnoid haemorrhage (257/1844, 14%). The diagnosis of brain death was made rapidly (50% in the first 24 h). Of those patients who went on to die, the Glasgow Coma Scale on admission was ≤ 8/15 in 1146/1261 (91%) of patients with intracerebral haemorrhage, traumatic brain injury or anoxic encephalopathy; the Hunt and Hess Scale was 4-5 in 207/251 (83%) of patients following subarachnoid haemorrhage; and the National Institutes of Health Stroke Scale was ≥ 15 in 114/129 (89%) of patients with strokes. Brain death was diagnosed exclusively by clinical examination in 92/1844 (5%) of cases. Electroencephalography was the most frequently used ancillary test (1303/1752, 70.7%), followed by transcranial Doppler (652/1752, 37%). Organ donation took place in 70% of patients (1291/1844), with medical unsuitability (267/553, 48%) and family refusal (244/553, 13%) the main reasons for loss of potential donors. All life-sustaining measures were withdrawn in 413/553 of non-donors (75%).
710			_967 _aServicio de Medicina Intensiva
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17108.pdf _ySolicitar documento
942			_2ddc _cART _n0