Volume 43 Issue 8
Jul.  2022
Turn off MathJax
Article Contents
Bohu LIU, Renhua XIE, Quan DONG, Jianchang CEN, Qian CHANG. Application of Electroencephalogram, Short Latency Somatosensory Evoked Potential and Transcranial Doppler Ultrasound in the Determination of Brain Death[J]. Journal of Kunming Medical University, 2022, 43(8): 132-137. doi: 10.12259/j.issn.2095-610X.S20220822
Citation: Bohu LIU, Renhua XIE, Quan DONG, Jianchang CEN, Qian CHANG. Application of Electroencephalogram, Short Latency Somatosensory Evoked Potential and Transcranial Doppler Ultrasound in the Determination of Brain Death[J]. Journal of Kunming Medical University, 2022, 43(8): 132-137. doi: 10.12259/j.issn.2095-610X.S20220822

Application of Electroencephalogram, Short Latency Somatosensory Evoked Potential and Transcranial Doppler Ultrasound in the Determination of Brain Death

doi: 10.12259/j.issn.2095-610X.S20220822
  • Received Date: 2022-03-14
    Available Online: 2022-07-20
  • Publish Date: 2022-08-25
  •   Objective   To explore the value and application of electroencephalogram, short latency somatosensory evoked potential and transcranial Doppler ultrasound in the determination of brain death.   Methods   31 patients with brain death in our hospital were enrolled. Each patient was tested twice by electroencephalogram, short latency somatosensory evoked potential and transcranial Doppler ultrasound. According to the experimental standard of brain death confirmation, they were divided into brain death positive group and brain death negative group. The sensitivity, specificity and accuracy of the three tests were compared.   Results   The sensitivity, specificity and accuracy of EEG were higher than those of short latency somatosensory evoked potentials and transcranial Doppler, with sensitivity of 100%, specificity of 75% and accuracy of 93.55%. The number of positive EEG and short latency somatosensory evoked potential in brain death group was significantly higher than that in non-brain death group, the difference was statistically significant (P < 0.05).   Conclusion  ROC curve analysis showed that electroencephalogram was effective in diagnosing brain death.
  • loading
  • [1]
    宿英英,张艳,叶红,等. 脑死亡判定标准与技术规范(成人质控版)[J]. 中国现代神经疾病杂志,2015,15(12):935-939. doi: 10.3969/j.issn.1672-6731.2015.12.002
    [2]
    Greer D M,Shemie S D,Lewis A,et al. Determination of brain death/death by neurologic criteria:The World Brain Death Project[J]. JAMA,2020,324(11):1078-1097. doi: 10.1001/jama.2020.11586
    [3]
    刘春峰,陆国平,钱素云,等. 脑死亡判定标准与技术规范(儿童质控版)[J]. 中华移植杂志(电子版),2015,9(2):54-57.
    [4]
    国家卫生健康委员会脑损伤质控评价中心. 中国儿童脑死亡判定标准与操作规范[J]. 中华儿科杂志,2019(5):331-335. doi: 10.3760/cma.j.issn.0578-1310.2019.05.003
    [5]
    中国抗癫痫协会脑电图和神经电生理分会. 临床脑电图基本技术标准[J]. 癫痫杂志,2022,8(1):3-11. doi: 10.7507/2096-0247.20220002
    [6]
    赵红,宿英英. 体感诱发电位的分级标准[J]. 中华老年心脑血管病杂志,2004,5(4):283-284. doi: 10.3969/j.issn.1009-0126.2004.04.029
    [7]
    杜宏生,李牧,马景鋻. 临床脑死亡病例判定12例报告[J]. 实用器官移植电子杂志,2016,4(5):286-290. doi: 10.3969/j.issn.2095-5332.2016.05.006
    [8]
    Scarpino M,Lolli F,Lanzo G,et al. Neurophysiology and neuroimaging accurately predict poor neurological outcome within 24 hours after cardiac arrest:the ProNeCA prospective multicentre prognostication study[J]. Resuscitation,2019,143(5):115-123.
    [9]
    Nevalainen P,Marchi V,Metsäranta M,et al. Evoked potentials recorded during routine EEG predict outcome after perinatal asphyxia[J]. Clinical Neurophysiology,2017,128(7):1337-1343. doi: 10.1016/j.clinph.2017.04.025
    [10]
    陈奥,练巧燕,徐鑫,等. 肺移植术后早期急性肾损伤的研究进展[J]. 器官移植,2020,11(6):743-748. doi: 10.3969/j.issn.1674-7445.2020.06.015
    [11]
    国家卫生健康委员会脑损伤质控评价中心,中华医学会神经病学分会神经重症协作组,中国医师协会神经内科医师分会神经重症专业委员会. 中国成人脑死亡判定标准与操作规范(第二版)[J]. 中华医学杂志,2019,1(17):1288-1292. doi: 10.3760/cma.j.issn.0376-2491.2019.17.003
    [12]
    蒋光伟,骆建军,郭丽叶,等. 脑死亡患者内源性皮质醇水平及补充甲泼尼龙琥珀酸钠对血流动力学的影响[J]. 创伤外科杂志,2021,23(12):900-904. doi: 10.3969/j.issn.1009-4237.2021.12.005
    [13]
    Buchner H,Ferbert A. Irreversibilitätsnachweis der klinischen Ausfallssymptome des Gehirns[J]. Der Nervenarzt,2016,87(2):128-143. doi: 10.1007/s00115-015-0049-x
    [14]
    Gobert F,Dailler F,Fischer C,et al. Proving cortical death after vascular coma:Evoked potentials,EEG and neuroimaging[J]. Clinical Neurophysiology,2018,129(6):1105-1116. doi: 10.1016/j.clinph.2018.02.133
    [15]
    Robba C,Iaquaniello C,Citerio G. Death by neurologic criteria:Pathophysiology,definition,diagnostic criteria and tests[J]. Minerva Anestesiologica,2019,85(7):774-781.
    [16]
    Chang J,Tsivgoulis G,Katsanos A,et al. Diagnostic accuracy of transcranial doppler for brain death confirmation:Systematic review and meta-analysis[J]. American Journal of Neuroradiology,2016,37(3):408-414. doi: 10.3174/ajnr.A4548
  • Relative Articles

    [1] Liming GONG, Jianghua RAN, Yinjia WANG, Zhiwei LI, Qian YANG, Qing WANG, Dongkun WANG, Zhengneng TANG. The Effects of Bronchoalveolar Lavage Combined with Microbiological Rapid on-site Evaluation in the Maintenance of Potential Donor Lung. Journal of Kunming Medical University, 2024, 45(1): 107-115.  doi: 10.12259/j.issn.2095-610X.S20240118
    [2] Jiajia XUE, Xiaoxiao WANG, Xu WANG, Yuanyuan SUN, Honglu ZHU. Application of Thyroid Function Indicators Combined with Transcranial Doppler Ultrasound and Carotid Ultrasound in the Assessment of Vascular Stenosis in Atherosclerotic Cerebral Infarction. Journal of Kunming Medical University, 2024, 46(): 1-7.
    [3] Yan SHEN, Yongfeng LI, Chunhua XIAO, Hong LI, Wei YANG, Shengning ZHANG, Yanqiong LV, Wandong YANG, Shilan. DING. Application of Multimodal Ultrasound in Post-operative Monitoring of Transplanted Livers by Donors after the Brain Death. Journal of Kunming Medical University, 2022, 43(9): 90-95.  doi: 10.12259/j.issn.2095-610X.S20220917
    [4] Lingming GONG, Li LI, Jianghua RAN, Lan LI, Shengning ZHANG, Chao LI, Yinjia WANG, Dongkun WANG, Li ZHENG, Guofeng ZHANG. The Effect of Bronchoscopic Alveolar Lavage on the Maintenance of Borderline Donor Lung in Brain Death. Journal of Kunming Medical University, 2022, 43(1): 89-95.  doi: 10.12259/j.issn.2095-610X.S20220107
    [5] Bo LI, Jian-lin JIAO, Chuan-yi ZHANG, Ya-qiong QIU, Hao GUO, Huai-chang SUN, Zhi-cheng YU. The Electroencephalogram and Analysis of MPTP-Induced Tree Shrew Model for Parkinson's Disease. Journal of Kunming Medical University, 2021, 42(5): 29-34.  doi: 10.12259/j.issn.2095-610X.S20210506
    [6] Ding Su Zhen , Li Lan , Zhu He Fei , Li Shao Min , Dong Jie . . Journal of Kunming Medical University, 2019, 40(12): 34-38.
    [7] Liu Chun Ming , Liu Yun , He Li Ping , Zhang Yang Ping , Zhao Yi Bin , Zhou Yi Qing , Cao Xuan Lan , Deng Xiao Li . Clinical Characteristics of Brainstem Auditory Evoked Potential in Children with Brain Injury Syndrome. Journal of Kunming Medical University, 2019, 40(03): 78-82.
    [8] Zhang Jin Zhi , Zhang Xiao , Liu Zhen Zhen . . Journal of Kunming Medical University, 2019, 40(02): 106-109.
    [9] Hu Shun Qin , Lu Xiao Ning , Xu Jing , Tang Dan , Sun Qing , Liu Qi Yun . . Journal of Kunming Medical University, 2018, 39(12): 85-89.
    [10] Han Juan , Xu Hong . . Journal of Kunming Medical University, 2018, 39(10): 68-71.
    [11] Dong Zi Mei , Li Qiong Xian , Li Zhi Hong , Huang Yan Hua , Tao Yong Sheng . Comparision of Two Kinds of Electrode Fixation Technology in Long-term EEG Monitoring. Journal of Kunming Medical University, 2017, 38(11): 79-81.
    [12] Lei Jun Hua . . Journal of Kunming Medical University,
    [13] Jiao Shu Lan . . Journal of Kunming Medical University,
    [14] Zhang Tao . . Journal of Kunming Medical University,
    [15] Peng Bo . . Journal of Kunming Medical University,
    [16] Xu Fei . . Journal of Kunming Medical University,
    [17] Wang Xi . . Journal of Kunming Medical University,
    [18] Zhou Zhi Gang . . Journal of Kunming Medical University,
    [19] Ma Li Ming . . Journal of Kunming Medical University,
    [20] . Clinical Electroencephalogram Research of Children Henoch-Schonlein Purpura with Headache. Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(6)  / Tables(2)

    Article Metrics

    Article views (3084) PDF downloads(31) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return