From: Quality improvement in the determination of death by neurologic criteria around the world
Complication | Prevention techniques |
---|---|
Hypotension | Ensure MAP > 60 mmHg or SBP > 100 mmHg before testing is initiated Use fluids/vasopressors/inotropes as needed Ensure euvolemia/hypervolemia prior to testing Ensure temperature is > 36 °C Abort testing for MAP < 60 mmHg or SBP < 100 mmHg |
Hypoxemia | Preoxygenate with 100% oxygen for 10-min prior to testing Consider checking arterial blood gas to ensure PaO2 > 200 mmHg Consider use of CPAP or a PEEP valve Abort testing for sustained desaturation < 85% |
Pneumothorax, pneumomediastinum, and pneumoperitoneum | Ensure insufflation catheter tip is in the distal third of the endotracheal tube Ensure insufflation catheter is not too wide compared to the diameter of the endotracheal tube Minimize oxygen flow rate through insufflation catheter |
Arrhythmia/cardiac arrest | Prevent hypotension and hypoxemia Correct electrolyte derangements Ensure temperature is > 36 °C |