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  Brain Death Diagnosis and Management in the Pandemic: Expert Opinion of the Turkish Neurological Society Neurological Intensive Care Scientific Working Group [Turk J Neurol]
Turk J Neurol. 2021; 27(1): 1-4 | DOI: 10.4274/tnd.2021.88785  

Brain Death Diagnosis and Management in the Pandemic: Expert Opinion of the Turkish Neurological Society Neurological Intensive Care Scientific Working Group

Tuğçe Mengi1, Hadiye Şirin2, Erdem Yaka3, Atilla Özcan Özdemir4, Ethem Murat Arsava5, Mehmet Akif Topçuoğlu5
1Nigde Training and Research Hospital, Clinic of Neurology, Intensive Care Unit, Nigde, Turkey
2Ege University Faculty of Medicine, Department of Neurology, Neurology Intensive Care Unit, Izmir, Turkey
3Dokuz Eylul University Faculty of Medicine, Department of Neurology, Neurology Intensive Care Unit, Izmir, Turkey
4Osmangazi University Faculty of Medicine, Department of Neurology, Neurology Intensive Care Unit, Eskisehir, Turkey
5Hacettepe University Faculty of Medicine, Department of Neurology, Neurology Intensive Care Unit, Ankara, Turkey

In the pandemic year, the number of brain death declarations decreased by more than 50% compared with previous years. The timely diagnosis of brain death is critical in terms of rational use of intensive care facilities, as well as organ transplantation. Apnea testing should not be omitted in patients with COVID-19, and can be performed either with apneic oxygenation method or ventilator-based spontaneous modes when standard prerequisites are met. Complete compliance with personal protection measures and prevention of the environmental escape of the expiratory air via tube clamping or filtering is essential. Other declaration processes should be conducted in accordance with the 2014 guidelines of the Turkish Neurology Association.

Keywords: Brain death, organ transplantation, CT angiography, aerosolization, apnea test


Tuğçe Mengi, Hadiye Şirin, Erdem Yaka, Atilla Özcan Özdemir, Ethem Murat Arsava, Mehmet Akif Topçuoğlu. Brain Death Diagnosis and Management in the Pandemic: Expert Opinion of the Turkish Neurological Society Neurological Intensive Care Scientific Working Group. Turk J Neurol. 2021; 27(1): 1-4

Corresponding Author: Mehmet Akif Topçuoğlu, Türkiye


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