Extracorporeal membrane oxygenation is used as extracirculatory support for the care of patients with severe and reversible cardiac and/or respiratory failure. Neurological complications may be related to the procedure. Given the unfavorable neurological evolution and the need to perform a brain death protocol, the performance of an apnea test in this context remains a challenge. We report the use of an apnea test for the diagnosis of brain death post-cardiac surgery in a patient receiving venoarterial extracorporeal membrane oxygenation.
Veiga VC, Silva LMCJ, Sady ERR, Fernandes PV, Rojas SSO. Apnea test for the diagnosis of brain death in a patient undergoing extracorporeal membrane oxygenation. Rev Bras Ter Intensiva 2020;32(3):468-73.
Electronic Document Format (ABNT)
Veiga, Viviane Cordeiro; Silva, Ligia Maria Coscrato Junqueira; Sady, Erica Regina Ribeiro; Fernandes, Priscila Valente; Rojas, Salomón Soriano Ordinola. Apnea test for the diagnosis of brain death in a patient undergoing extracorporeal membrane oxygenation. Rev Bras Ter Intensiva, v. 32, n. 3, p. 468-473, Oct. 2020.
Electronic Document Format (APA)
Veiga, V. C., Silva, L. M. C. J., Sady, E. R. R., Fernandes, P. V., & Rojas, S. S. O. (2020). Apnea test for the diagnosis of brain death in a patient undergoing extracorporeal membrane oxygenation. Rev Bras Ter Intensiva, 32(3), 468-473.
Electronic Document Format (ISO)
Veiga, Viviane Cordeiro and Silva, Ligia Maria Coscrato Junqueira and Sady, Erica Regina Ribeiro and Fernandes, Priscila Valente and Rojas, Salomón Soriano Ordinola. Apnea test for the diagnosis of brain death in a patient undergoing extracorporeal membrane oxygenation. Rev Bras Ter Intensiva [online]. 2020, vol. 32, n. 3, [cited 2024-05-20], pp.468-473. Available from: <https://criticalcarescience.org/article/apnea-test-for-the-diagnosis-of-brain-death-in-a-patient-undergoing-extracorporeal-membrane-oxygenation/>.
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Figura 1 | Evolução da radiografia de tórax ao longo da internação. (A) Pósoperatório imediato (pré-oxigenação por membrana extracorpórea); (B) Dia 1 - oxigenação por membrana extracorpórea venoarterial; (C) Dia 4 - oxigenação por membrana extracorpórea venoarterial.
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