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Modern clinical and instrumental diagnosis of brain death

Abstract

Extremely large ethical importance of ascertaining death based on neurological criteria sets the highest benchmark for the accuracy, speed and security of diagnostics. In most cases, the clinical picture of the death of brain is complicated by face injuries, spontaneous or induced automatisms, inability to carry out an isolation test safely. The modern trend
is to use additional confirmatory tests in difficult cases. A significant reduction of the observation time or complete rejection of the re-examination are discussing in the world literature. With the increased number of donor centers and the growing sense of ethical and economical unreasonableness of a futile resuscitation, modern, evidence-based legislative scheme of brain death diagnosis is very important.

About the Authors

I. D. Stulin
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow
Russian Federation


R. S. Musin
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow
Russian Federation


D. S. Solonsky
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow
Russian Federation


M. V. Sinkin
City Clinical Hospital № 11, Moscow
Russian Federation


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For citations:


Stulin I.D., Musin R.S., Solonsky D.S., Sinkin M.V. Modern clinical and instrumental diagnosis of brain death. Transplantologiya. The Russian Journal of Transplantation. 2014;(1):24-35. (In Russ.)

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