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Apnea testing to confirm brain death in children.
Critical Care Medicine 1984 April
The diagnosis of brain death requires absence of respiratory effort. Various protocols for apnea testing in adults have been reported; however, similar protocols have not been established for children. The technique of apneic oxygenation was used on 10 brain-dead children. PaO2 remained over 200 torr in all patients, and the mean PaCO2 increase was 4 torr/min. Five min of apneic oxygenation is a safe and effective means of evaluating respiratory activity in initially normocapnic children thought to be brain-dead.
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