TY - JOUR PY - 1995// TI - Influence of antemortem medication on the determination of brain death JO - Nippon Hoigaku Zasshi A1 - Saito, T. A1 - Takeichi, S. A1 - Nakajima, Y. A1 - Yukawa, Nobuhiro A1 - Osawa, M. SP - 484 EP - 487 VL - 49 IS - 6 N2 - Post-mortem concentration of pentobarbital in the blood and brain of two deceased neurosurgical patients was determined by gas chromatography/mass spectrometry. Patients treated with barbiturate for elevated intracranial pressure after head injury may incur brain death. In the present two cases of brain death a large amount of barbiturate remained in the brain, even when the blood concentration was not detectable, possibly because the blood flow was stagnant in the brain. It is suggested that a patient under barbiturate coma should be given serious consideration as to the determination of brain death, even if barbiturate is negative in the blood.
Language: en
LA - en SN - 0047-1887 UR - http://dx.doi.org/ ID - ref1 ER -