RT Book, Section A1 Go, Ronaldo Collo A1 Kohli-Seth, Roopa A2 Atchabahian, Arthur A2 Gupta, Ruchir SR Print(0) ID 57262283 T1 Chapter 118. Brain Death and Organ Donation T2 The Anesthesia Guide YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176049-2 LK accessanesthesiology.mhmedical.com/content.aspx?aid=57262283 RD 2024/03/28 AB Acute CNS catastrophic event excluding acid-base, circulatory, electrolyte, hemodynamic disturbances, and no evidence of poisoning or hypothermiaClinical examination: absent brainstem function; spinal cord and peripheral nerve reflexes may occurClinical exam repeated after 6 hours in patients over 1-year-oldApnea test performed after second clinical examinationPatient disconnected from ventilator and placed on 6 L/min O2 by T-pieceSpontaneous respirations within 8 to 15 minutes = negative apnea testNo spontaneous respirations while PCO2 ≥ 60 or increase in PCO2 ≥ 20 from baseline = positiveClinical examination and positive apnea test are sufficient to affirm brain death