Pediatric brain death certification: a narrative review

Fainberg, Nina; Mataya, Leslie; Kirschen, Matthew; Morrison, Wynne

doi:10.21037/tp-20-350

Cited by 3 publications

(1 citation statement)

References 89 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, further validation is still required before CEUS can be employed as an adjunct to other ancillary tests. Such a validation of the method would be valuable, as there is still a paucity of data regarding additional ancillary imaging tests for a brain death diagnosis in children, and only a scarce number of them have been validated in the paediatric population [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Contrast-Enhanced Ultrasound (CEUS) as an Ancillary Imaging Test for Confirmation of Brain Death in an Infant: A Case Report

2022

View full text Add to dashboard Cite

The practices for determining brain death are based on clinical criteria and vary immensely across countries. Cerebral angiography and perfusion scintigraphy are the most commonly used ancillary imaging tests for brain death confirmation in children; however, they both share similar shortcomings. Hence, contrast-enhanced ultrasound (CEUS) as a relatively inexpensive, easily accessible, and easy-to-perform technique has been proposed as an ancillary imaging test for brain death confirmation. CEUS has established itself as a favourable and widely used diagnostic imaging method in many different areas, but its application in delineating brain pathologies still necessities further validation. Herein, we present a case report of a 1-year-old polytraumatised patient in whom CEUS was applied as an ancillary imaging test for confirmation of brain death. As CEUS has not been validated as an ancillary test for brain death confirmation, the diagnosis was additionally confirmed with cerebral perfusion scintigraphy.

show abstract

Section: Discussionmentioning

confidence: 99%

Contrast-Enhanced Ultrasound (CEUS) as an Ancillary Imaging Test for Confirmation of Brain Death in an Infant: A Case Report

2022

View full text Add to dashboard Cite

show abstract

How Many Evaluations Are Required to Determine Death by Neurologic Criteria?

Varelas

2022

Advances in Neuroethics

View full text Add to dashboard Cite

Translating scientific evidence into the art of caring for critically ill children across the globe

Lee¹,

Long²,

Srinivasan³

2021

Transl Pediatr

View full text Add to dashboard Cite

excellence in clinical care delivery models. It can be rightly said that pediatric critical care medicine belongs to the global village of practitioners and scientists who strive tirelessly to improve the health and future of critically ill children across the world.Advances in pediatric critical care medicine encompass a better understanding of disease states, newer interventions with innovations in therapeutics and devices, and better team integration of multiple disciplines and workflow processes to enhance the quality of care and outcomes from critical illness in children. From the early days of physician-driven care of infants with acute respiratory failure requiring manual hand ventilation to the modern interdisciplinary ICU with complex decision support and advanced ventilator technologies involving smart devices and skilled teams of physicians, nurses, respiratory therapists, and pharmacists, the clinical care of critically ill children has been greatly enhanced through advances in scientific research and quality improvement methods. This special series on pediatric critical care medicine is a curated collection of cutting-edge articles by leading clinician-scientists from across the world in the field of pediatric critical care medicine. As editors, we are particularly proud to have assembled this series of articles authored by a diverse group of multidisciplinary experts from different geographical regions. These articles emphasize how scientific evidence can build the foundation for outstanding clinical care to improve outcomes in pediatric critical illness. Some articles cover well-known disease states such as acute respiratory distress syndrome (4,5), severe sepsis (6,7) and septic shock (8), and traumatic brain injury (9) and provide the latest translational science context that serves to underpin our current understanding of how best to care for these children (10)(11)(12). Other articles emphasize the evidence for best practices for ICU interventions such as sedation management (13), nutrition therapy (14,15), and early mobilization with rehabilitation (16). These articles also focus on topical and relevant issues such as pandemic considerations for the ICU (17), the role of the microbiota (14), and moral and ethical dilemmas in the care of critically ill children (18-21). Together, these articles serve as a compendium of how best to translate scientific evidence into the art of caring for critically ill children across the globe.

show abstract

Pediatric brain death certification: a narrative review

Cited by 3 publications

References 89 publications

Contrast-Enhanced Ultrasound (CEUS) as an Ancillary Imaging Test for Confirmation of Brain Death in an Infant: A Case Report

Contrast-Enhanced Ultrasound (CEUS) as an Ancillary Imaging Test for Confirmation of Brain Death in an Infant: A Case Report

How Many Evaluations Are Required to Determine Death by Neurologic Criteria?

Translating scientific evidence into the art of caring for critically ill children across the globe

Contact Info

Product

Resources

About