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Die Feststellung des Todes

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Zusammenfassung

Proof of irreversible brain dysfunction (IHA, „brain death“) is the legal prerequisite for post-mortem organ donation, but its determination is generally independent of a possible organ donation. Because not all patients with a severe brain injury that could cause brain death are formally diagnosed, the exact epidemiology of brain death is not known. The current version of the associated guideline of the German Medical Association is binding for formal brain death diagnostics. Independently of each other, at least two physicians check the preconditions for diagnosing brain death in the 1st step, then, in the 2nd step, record the clinical findings and, in the 3rd and final step, prove the irreversibility of the clinical symptoms of failure. The findings must be documented using the protocol sheets specified in the guideline.

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Literatur

  • Beckmann Y, Çiftçi Y, Incesu TK, Seçil Y, Akhan G (2014) Spinal reflexes in brain death. Acta Neurol Belg 114(4):303–306

    Article  Google Scholar 

  • Bundesärztekammer (2015) Richtlinie gemäß § 16 Abs. 1 S. 1 Nr. 1 TPG für die Regeln zur Feststellung des Todes nach § 3 Abs. 1 S. 1 Nr. 2 TPG und die Verfahrensregeln zur Feststellung des endgültigen, nicht behebbaren Ausfalls der Gesamtfunktion des Großhirns, des Kleinhirns und des Hirnstamms nach § 3 Abs. 2 Nr. 2 TPG, Vierte Fortschreibung. Dtsch Ärztebl 3/2015. 112

    Google Scholar 

  • Burns JD, Russell JA (2008) Tension pneumothorax complicating apnea testing during brain death evaluation. J Clin Neurosci 15(5):580–582

    Google Scholar 

  • Dodd-Sullivan R, Quirin J, Newhart J (2011) Ventilator autotriggering: a caution in brain death diagnosis. Prog Transplant 21(2):152–155

    Article  Google Scholar 

  • Drummond JC, Todd MM, Schubert A, Sang H (1987) Effect of the acute administration of high dose pentobarbital on human brain stem auditory and median nerve somatosensory evoked responses. Neurosurgery 20(6):830–835

    Article  CAS  Google Scholar 

  • Drummond JC, Todd MM, HSU (1985) The effect of high dose sodium thiopental on brain stem auditory and median nerve somatosensory evoked responses in humans. Anesthesiology 63(3): 249–254

    Google Scholar 

  • Esmaeilzadeh M, Dictus C, Kayvanpour E, Sedaghat-Hamedani F, Eichbaum M, Hofer S, Engelmann G, Fonouni H, Golriz M, Schmidt J, Unterberg A, Mehrabi A, Ahmadi R (2010) One life ends, another begins: management of a brain-dead pregnant mother-a systematic review. BMC Med 8:74

    Google Scholar 

  • Essien EO, Fioretti K, Scalea TM, Stein DM (2017) Physiologic features of brain death. Am Surg 83(8):850–854

    Article  Google Scholar 

  • Ganes T, Lundar T (1983) The effect of thiopentone on somatosensory evoked responses and EEGs in comatose patients. J Neurol Neurosurg Psychiatry 46(6):509–514

    Article  CAS  Google Scholar 

  • Giani M, Scaravilli V, Colombo SM, Confalonieri A, Leo R, Maggioni E, Avalli L, Vargiolu A, Citerio G (2016) Apnea test during brain death assessment in mechanically ventilated and ECMO patients. Intensive Care Med 42(1):72–81

    Article  Google Scholar 

  • Handal KA, Schauben JL, Salamone FR (1983) Naloxone. Ann Emerg Med 12(7):438–445

    Article  CAS  Google Scholar 

  • Jefferys DB, Volans GN (1983) An investigation of the role of the specific opioid antagonist naloxone in clinical toxicology. Hum Toxicol 2(2):227–231

    Article  CAS  Google Scholar 

  • Monterrubio-Villar Jand Cordoba-Lopez A (2008) Barotrauma during apnoea testing for brain death determination in a five-year-old boy. Anaesth Intensive Care. 36(3):462–463

    Google Scholar 

  • Nair-Collins M, Northrup J, Olcese J (2016) Hypothalamic-pituitary function in brain death: a review. J Intensive Care Med. 31(1):41–50

    Google Scholar 

  • Saposnik G, Basile VS, Young GB (2009) Movements in brain death: a systematic review. Can J Neurol Sci 36(2):154–160

    Article  Google Scholar 

  • Saucha W, Sołek-Pastuszka J, Bohatyrewicz R, Knapik P (2015) Apnea test in the determination of brain death in patients treated with extracorporeal membrane oxygenation (ECMO). Anaesthesiol Intensive Ther. 47(4):368–371

    Article  Google Scholar 

  • Whitwam JG, Amrein R (1995) Pharmacology of flumazenil. Acta Anaesthesiol Scand Suppl 108:3–14

    Article  CAS  Google Scholar 

  • Wijdicks EFM, Manno EM, Holets SR (2005) Ventilator self-cycling may falsely suggest patient effort during brain death determination. Neurology 65(5):774

    Article  Google Scholar 

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Correspondence to Stefanie Förderreuther .

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Förderreuther, S. (2022). Die Feststellung des Todes. In: Rahmel, A., Hahnenkamp, K., Middel, CD. (eds) Repetitorium Transplantationsbeauftragte. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62614-6_13

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  • DOI: https://doi.org/10.1007/978-3-662-62614-6_13

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