Publication details
Stanovení smrti mozku - návrh nového postupu
| Title in English | Brain Death - a New Protocol Proposed |
|---|---|
| Authors | |
| Year of publication | 2000 |
| Type | Article in Periodical |
| Magazine / Source | Anestezie a neodkladná péče |
| MU Faculty or unit | |
| Citation | |
| Keywords | brain panangiography - clinical examination |
| Description | In the Czech Republic, brain death can be pronounced after two panangiography series done with 30 minutes time interval in between. This examination has a high falsely negative results, even though the patient is apparently brain dead, according to the clinical examination. Radio-opaque fluid frequently flows above skull base to the intracranial part of the vasculare; sometimes, ophtalmic artery can be visualized. The intracranial filling of the vasculature can be affected by previous decompressice craniectomy. Based on the authors experience, there are recommended possible changes in the evaluation of brain death. This should be stated on clinical examination and single panangiography. The perfusion in the vertebral arteries should be limited to the extracranial part only. In the carotid arteries perfusion should be allowed also for ophtalmic artery, but not the Willis circle arteries and branches. |