Management of brain-dead donors in Korea

Joo, Jin-Deok

doi:10.5124/jkma.2014.57.2.137

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…The participation of more than half of the members and the consent of all of the attending members is mandatory for determining brain death. 6,7 The organ procurement team is responsible for coordinating and managing the entire process of determining brain death.…”

Section: Methodsmentioning

confidence: 99%

“…The presence of brain death is determined in South Korea using the Korean Medical Association guideline for determining brain death. 6,7 The contents of the guideline are described in brief as follows: the decision-making process of determining brain death begins with the precondition that the cause of brain dysfunction of the PWIBDs is irreversible. In PWIBDs that meet the prerequisites, the clinicians examine whether all functions of both the brain and brainstem are absent.…”

Section: Methodsmentioning

confidence: 99%

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Factors Affecting the Time Taken to Determine Brain Death in Patients with Impending Brain Death

Kim

Yang

et al. 2020

J Clin Neurol

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Background and Purpose The increased demand for donor organs has made it crucial to keep the organs of patients with impending brain death (PWIBDs) suitable for transplantation during the process of determining brain death. This study aimed to identify the time taken to determine brain death (TT-BD) in PWIBDs and the associated influencing factors. Methods This study analyzed data collected by the Korean Organ Donation Agency from 15 hospitals in the Yeongnam region of South Korea. There were 414 PWIBDs eligible for inclusion in this study. The data consisted of the TT-BD for PWIBDs and the potential variables influencing the TT-BD. Results The mean age of the 414 PWIBDs was 48.9 years, and 120 of them were female (29.0%). The mean TT-BD was 8.5 days. The presence of spontaneous movements (SMs) and craniotomy significantly affected the TT-BD. The mean TT-BDs were 13.9 and 8.2 days in the PWIBDs with and without SMs, respectively, and 9.8 and 8.0 days in the PWIBDs with and without craniotomy, respectively. Conclusions The SMs in PWIBDs and a craniotomy performed immediately before starting the process of determining brain death seem to be related to lengthening the TT-BD.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Factors Affecting the Time Taken to Determine Brain Death in Patients with Impending Brain Death

Kim

Yang

et al. 2020

J Clin Neurol

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“…The clinical examination must be repeated at a time interval dependent on the patient's age: For patients > 6 years of age, it is 6 hours; for those between 1 to 6 years of age, it is 24 hours; and for patients between 2 months and < 1 year of age, the time interval is 48 hours. [10][11][12] There is a requirement for four to six staff to be in attendance, with a minimum of two specialist medical staff, one of whom must be a neurologist or a neurosurgeon, and at least one nonmedical staff. The diagnosis of brain death is decided by the majority of those present at the two clinical examinations and following an EEG examination showing isoelectric activity.…”

Section: South Koreamentioning

confidence: 99%

Brain Death: The Asian Perspective

et al. 2015

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Asia is the largest and most populous continent in the world with people from many diverse ethnic groups, religions and government systems. The authors surveyed 14 countries accounting for the majority of Asia's population and found that, although the concept of brain death is widely accepted, there is wide variability in the criteria for certification. Although most Asian countries have adopted the "whole-brain" concept of brain death, most countries with past colonial links to the United Kingdom follow the UK "brainstem" concept of brain death. Despite this difference, most countries require only neurologic testing of irreversible coma and absent brainstem reflexes as criteria for certification of brain death. Variability exists in the number of personnel required, qualifications of certifying doctors, need for repeat examination, minimum time interval between examinations, and requirement for and choice of confirmatory tests.

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