Author/Editor		Trontelj, Jože
Title		Diagnoza možganske smrti: tretja generacija kriterijev - predlog slovenskega pravilnika s komentarjem
Translated title		Diagnosis of brain death: criteria of the third generation - Slovene draft guidelines with commentary
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 37, št. Suppl 4
Publication year		1998
Volume		str. 87-98
Language		slo
Abstract		There are no internationally accepted guidelines for diagnosis of brain death. Different sets of criteria are used indifferent countries, and several have been updated in recent years. The current Slovene criteria need to be revised as well. This paper presents a draft of the new Guidelines,elaborated upon the request of the National Council, for Neurology. These Draft Guidelines are based on some of the most recent foreign Guidelines, as well as recent literature. This is followed by detailed instructions as to how the individual tests should be performed, as well as by explanatory remarks and comments on the differences compared to the current protocol and certain foreign guidelines. The exact identification of the preconditions is among the most important requirements. A distinction is made between primary and secondary brain damage and between the primary supra- and inratentorial lesions. In principle, a confirmatory instrumental test is required for an early diagnosis, except for the cases of primary supratentorial lesions.
Summary		V svetu še vedno ni soglasno sprejetih priporočil, kako naj se diagnosticira možganska smrt. V raznih deželah so v rabi precej različni pravilniki, ki prav v zadnjih letih dožibljajo revizije. Tudi veljavni slovenski pravilnik je poteben prenove. Članek vsebuje predlog novega slovenskega pravilnika o ugotavljanju možganske smrti, ki je bil izdelan na zahtevo Razširjenega strokovnega kolegija nevroloških strok. Pravilnik temelji na najsodobnejših tujih pravilnikih tretje generacije in na izkušnjah iz nedavne literature. Pravilniku sledijo podrobni opisi izvedbe testov, razlaga in utemeljitve sprememb v primerjavi z veljavnim protokolom oz. razlik v primerjavi z nekaterimi tujimi pravilniki. Med najpomembnejšimi določili je natančna ugotovitev izhodiščnih pogojev. To je uvedeno razločevanje med primarno in sekundarno okvaro možganov in supratentorijsko oz. infratentorijsko poškodbo. Načeloma se za zgodnjo diagnozo zahteva dopolnilna instrumentalna preiskava, razen v primeru primarno supratentorijske poškodbe.
Descriptors		BRAIN DEATH REFLEX APNEA ELECTROENCEPHALOGRAPHY EVOKED POTENTIALS