Articles: apnea-diagnosis.
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J Intensive Care Med · Jan 2016
Case ReportsThe Modified Apnea Test During Brain Death Determination: An Alternative in Patients With Hypoxia.
Conventional apnea testing in patients with severe hypoxemia or hemodynamic instability with removal from the ventilator support is unsafe. We describe an alternative approach to apnea testing, which may be used in patients with hypoxia unable to undergo conventional apnea testing. ⋯ The modified apnea test does not require circuit disconnection and can be successfully applied to determine brain death without compromising safety in high-risk patients having severe hypoxia.
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Intensive care medicine · Jan 2016
Apnea test during brain death assessment in mechanically ventilated and ECMO patients.
To evaluate the feasibility and efficacy of an apnea test (AT) technique that combines the application of positive end expiratory pressure (PEEP) with subsequent pulmonary recruitment in a large cohort of brain-dead patients. ⋯ In a large cohort of consecutive patients, including the largest patient population on ECMO reported to date, our AT technique that combines the application of PEEP with subsequent pulmonary recruitment proved to be feasible and safe.