GUIDELINES FOR DETERMINING BRAIN DEATH - （指导方针,确定脑死亡,）.pdf

GUIDELINES FOR DETERMINING BRAIN DEATH NEW YORK STATE DEPARTMENT OF HEALTH AND NEW YORK STATE TASK FORCE ON LIFE THE LAW November 2011 GUIDELINES FOR DETERMINING BRAIN DEATH BACKGROUND This document provides guidance for determining brain death, aims to increase knowledge amongst health care practitioners about the clinical evaluation of brain death, and reduces the potential for variations in brain death determination policies and practices amongst facilities and practitioners within New York State. The Department of Health hopes that the issuance of these guidelines not only will help educate health care providers regarding such determinations, but also will increase the public’s confidence that such determinations are made after a thorough and careful evaluation in accordance with accepted medical standards. The guidelines contained in this document, which revise and update New Yorks 2005 guidelines, represent a broad consensus on the criteria for determining brain death. They incorporate the guidelines of the American Academy of Neurology (AAN), initially released in 1995 and revised in 2010. They also draw upon a consensus-building process that included ethical, legal and clinical review by the New York State Task Force on Life and the Law, as well as recommendations by an outside working group of expert physicians from across the State. Revisions to the 2005 Brain Death Determination Guidelines These updated guidelines make two significant modifications to the 2005 guidelines, as well as a number of smaller changes to certain clinical parameters. First, the 2005 guidelines recommend