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Table 1 The conditions of validity of the brain criterion of death in the context of DBCDD

From: Donation after brain circulation determination of death

 

Conditions of validity

1]

The possibility of autoresuscitation has elapsed:

− no-touch period of 5 min in controlled DBCDD

− no-touch period of 10 min in uncontrolled DBCDD

2]

No interventions that may resume brain circulation after the determination of death will be performed:

− no CPR - no ECMO, unless the brain circulation is proven to have been securely excluded

− no lung inflation

3]

The diagnostic of cessation of brain circulation is certain using at least one test:

flat arterial line

− no arterial Doppler signal

− no opening of the aortic valve on echocardiography

4]

There is a permanent and complete cessation of all brain functions:

− a minimal no-touch period of 5 min is required

5]

There is consensus that the determination of death may be based on the permanent cessation of brain circulation and function

6]

Informed consent for DBCDD has been obtained