Updated recommendations integrate guidance for adults and children into a single guideline<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
<\/b><\/p>\n
THURSDAY, Oct. 12, 2023 (HealthDay News) — In a consensus guideline published online Oct. 11 in Neurology<\/em>, updated recommendations are presented for determining brain death\/death by neurologic criteria (BD\/DNC) for adults and children.<\/p>\n David M. Greer, M.D., from the Boston University Chobanian & Avedisian School of Medicine, and colleagues updated the 2010 American Academy of Neurology BD\/DNC guideline for adults and the 2011 American Academy of Pediatrics, Child Neurology Society, and Society of Critical Care Medicine guideline for infants and children. The process of determining BD\/DNC was clarified by integrating guidance for adults and children into a single guideline. The recommendations were developed by a panel of experts from multiple medical societies; recommendations were formulated and voted on.<\/p>\n Eighty-five recommendations were developed. These recommendations related to general principles for the evaluation of BD\/DNC; qualifications to perform these evaluations; prerequisites for determination of BD\/DNC; components of the BD\/DNC neurologic examination; apnea testing and ancillary testing as part of the BD\/DNC evaluation; and special considerations for determination of BD\/DNC.<\/em><\/p>\n “This guideline provides a highly rigorous and structured approach to brain death evaluation and determination,” coauthor Ariane Lewis, M.D., from the NYU Langone Medical Center in New York City, said in a statement. “It is recommended that hospital administrators ensure that their hospital’s brain death determination policies are updated to be consistent with this new guideline.”<\/strong><\/p>\n