Dos enfoques conocidos para la determinación de muerte neurológica del adulto: Propuesta de un concepto unificado

Armando  Cacciatori; Daniel Agustín Godoy

doi:10.29193/RMU.38.1.12

Authors

Armando Cacciatori Instituto Nacional de Donación y Trasplante, Coordinador de Trasplante, Profesor Adjunto. Médico Intensivista
Daniel Agustín Godoy Sanatorio Pasteur, Unidad de Cuidados Neurointensivos. Argentina, Catamarca, Hospital Carlos Malbran, Unidad de Terapia Intensiva

DOI:

https://doi.org/10.29193/RMU.38.1.12

Keywords:

BRAIN DEATH, ADULT

Abstract

The more progress is made in the knowledge of irreversible acute brain injury (ABI) and its potential evolution to brain death (BD), the more possibilities there will be for recruiting donors, with the consequent reduction in waiting lists. In our opinion, the intensivist doctor should keep this possibility in mind when dealing with victims of neuroinjury regardless of its etiology. In addition, it is essential that you know the pathophysiology of the EM syndrome and the steps to follow to carry out a complete, exhaustive and rigorous neurological examination to confirm it. To date, there are two concepts of death according to neurological criteria: total brain death (TBD) and brainstem death (BD). Although both definitions are accepted by the world medical community, some countries adopt one or the other, receiving the corresponding legal framework that endorses it. We will discuss both concepts, with the intention of trying to generate a unified and agreed concept of BD.

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