• Prog Transplant · Jun 2011

    Case Reports

    Ventilator autotriggering: a caution in brain death diagnosis.

    • Rebecca Dodd-Sullivan, Jamie Quirin, and John Newhart.
    • University of California, San Diego, 3465 Camino del Rio, Ste. 410, San Diego, CA 92108, USA. rdoddsullivan@ucsd.edu
    • Prog Transplant. 2011 Jun 1; 21 (2): 152-5.

    AbstractThe Uniform Determination of Death Act and the American Academy of Neurology's Guidelines for Determination of Death define procedures for diagnosis of brain death before organ procurement for transplantation, including clinical assessment and apnea test. Autotriggering of mechanical ventilators can occur in both brain dead and living patients. A case is reported in which procurement was delayed because ventilator self-cycling was confused for brainstem-mediated respiratory effort. Background knowledge to effectively troubleshoot ventilator self-cycling is offered so that unnecessary delays in brain death testing can be avoided.

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