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Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline

Consensus Guideline, October 2023

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This guideline provides recommendations on the evaluation of brain death/death by neurologic criteria for both children and adults. The recommendations cover (1) general principles for the BD/DNC evaluation, (2) qualifications to perform BD/DNC evaluations, (3) prerequisites for BD/DNC determination, (4) components of the BD/DNC neurologic examination, (5) apnea testing as part of the BD/DNC evaluation, (6) ancillary testing as part of the BD/DNC evaluation, and (7) special considerations for BD/DNC determination.

Codeveloped with the American Academy of Pediatrics, the Child Neurology Society, and the Society of Critical Care Medicine.

The Neurocritical Care Society affirms the value of this guideline. The American Association of Neurological Surgeons/Congress of Neurological Surgeons Pediatric Section and Section on Neurotrauma and Critical Care affirms the educational benefit of this document.

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