中华医学杂志（英文版）2008，Vol.121Issue(13)：1169-1172,4.
Complications associated with the apnea test in the determination of the brain death
Complications associated with the apnea test in the determination of the brain death
WU Xiao-liang 1FANG Qiang 1LI Li 1QIU Yun-qing 2LUO Ben-yan3
作者信息
- 1. Department of Intensive Care Unit,First Affiliated Hospital of College of Medicine,Zhejiang university,Hangzhou,Zhejiang 310003,China
- 2. Department of Infectious Disease,First Affiliated Hospital of College of Medicine,Zhejiang university,Hangzhou,Zhejiang 310003,China
- 3. Department of Neurology,First Affiliated Hospital of College of Medicine,Zhejiang university,Hangzhou,Zhejiang 310003,China
- 折叠
摘要
Abstract
Background An apnea test is essentialin the clinical determination of brain death.This study was conducted to analyse complications associated with the apnea test in the determination of the brain death.Methods On 93 adult patients In coma in Zhejiang Province of China from January 2003 to December 2006,179 apnea tests were performed as a part of the determination of brain death.Potential risk conditions and complications were analysed during apnea tests.Results During apnea,sedous cardiac arrhythmia did not occur in all patients.Complications occurred in 37 of 179 (21%)apnea tests.Hypotension occurred in 30 patients(17%)and it was obsewed in 8/94(9%)tests with baseline value of systolic arterial blood pressure not less than 120 mmHg,and 22/85(26%)lass than 120 mmHg(P＜0.05).Severe hypoxaemia occurred in 10 patients(6%)of which 3/138(2%)tests with baseline value of arterial oxygen pressure not less than 200 mmHg,and 7/41(17%)less than 200 mmHg(P＜0.05).Conclusions This study demonstrated that complications occurred mostly in patients with inadequate baseline systolic arterial blood pressure and preoxygenation.Adequate precautions during the apnea tests may reduce the risk of cardiovascular and oxygenation complication.关键词
apnea test/brain death/complicationsKey words
apnea test/brain death/complications分类
医药卫生引用本文复制引用
WU Xiao-liang,FANG Qiang,LI Li,QIU Yun-qing,LUO Ben-yan..Complications associated with the apnea test in the determination of the brain death[J].中华医学杂志（英文版）,2008,121(13):1169-1172,4.
