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Case Reports
Apnea Testing for Brain Death in Severe Acute Respiratory Distress Syndrome: A Possible Solution.
- Sara Hocker, Francis Whalen, and Eelco F M Wijdicks.
- Division of Critical Care Neurology, Mayo W8-B, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, hocker.sara@mayo.edu.
- Neurocrit Care. 2014 Apr 1; 20 (2): 298-300.
IntroductionA 42-year-old man with a subarachnoid hemorrhage complicated by anoxic brain injury, respiratory failure requiring mechanical ventilation, and severe acute respiratory distress syndrome (ARDS) presented a clinical conundrum for safe apnea testing in brain death determination due to profound hypoxemia.MethodsCase report.ResultsDuring brain death examination, despite meeting criteria for severe ARDS, apnea testing was successfully completed with the use of a pretest recruitment maneuver and 20 cm H(2)O CPAP valve.ConclusionA recruitment maneuver and CPAP valve may be used in severe ARDS for safe apnea testing in brain death determination.
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