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NEUROLOGY 1986;36:542-544
© 1986 American Academy of Neurology

ARTICLES

Testing for apnea in suspected brain death: methods used by 129 clinicians

MP Earnest, HR Beresford and HB McIntyre

Neurologists in Colorado and California were asked the methods they use to test for apnea when determining brain death. Most (65.1%) of 129 respondents simply observed the patient for respiratory efforts for 3 minutes or less while off the ventilator. Only 22.5% measured arterial carbon dioxide, 12.4% used a published recommended rigorous method for testing for apnea, and 11.6% did not test for apnea. Clinicians in full- time academic practice more frequently used the rigorous method. The data indicate that methods used most often in the communities surveyed are less rigorous than published guidelines.


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