SlideShare a Scribd company logo

Brain death Present status YDS

•Download as PPT, PDF•
•
Yudh Dev Singh
Yudh Dev Singh

This document discusses brain death, including its definition, diagnosis, and distinction from other conditions like coma and persistent vegetative state. It provides details on the brain death determination process in the US and India, including clinical exams and confirmatory tests. It notes that while brain death is considered death in the US, the concept is still debated in India and a uniform death determination law is needed.

Health & MedicineEducation
1 of 44
Dr (Brig) YD Singh MBBS, MD, FIACM, DIT Professor (Internal Medicine) SKN Medical College & Gen Hospital Pune 411 041
Brain Death ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Normal Brain Anatomy 25 September 2011 Dr (Brig) YD Singh Cerebral Cortex Brain Stem Reticular Activating System Receives multiple sensory inputs & Mediates Consciousness (wakefulness)
Two Dimensions of Consciousness 25 September 2011 Dr (Brig) YD Singh
Cerebral Cortex: Function 25 September 2011 Dr (Brig) YD Singh ,[object Object],[object Object],[object Object]
Brain Stem : Functions 25 September 2011 Dr (Brig) YD Singh ,[object Object],[object Object],[object Object],[object Object]
Brain Stem : Functions 25 September 2011 Dr (Brig) YD Singh ,[object Object],[object Object],[object Object],[object Object]
Brain Stem : Functions 25 September 2011 Dr (Brig) YD Singh ,[object Object],[object Object],[object Object],[object Object],[object Object]
Death : Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : USA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : USA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Death Definition : Indian Laws ,[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : Indian Laws ,[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : India ,[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Causes: Brain Death 25 September 2011 Dr (Brig) YD Singh Normal Cerebral Anoxia
Causes: Brain Death 25 September 2011 Dr (Brig) YD Singh Normal Cerebral Haemorrhage
Causes: Brain Death 25 September 2011 Dr (Brig) YD Singh Normal Cerebral Trauma
Brain Death : Mechanism 25 September 2011 Dr (Brig) YD Singh Neuronal Injury Decreased Intracranial Blood Flow Neuronal Swelling Increased Intracranial Pressure ICP > MAP is incompatible with life
Brain Death: Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death: Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Neurologic Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Neurologic Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Neurologic Examination 25 September 2011 Dr (Brig) YD Singh Pupils dilated with no constriction to bright light
Brain Death Neurologic Examination ,[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Neurologic Examination 25 September 2011 Dr (Brig) YD Singh Occulo-Vestibular Response “ Cold Caloric Testing” Normal Response in Coma No Response in Brain Stem Death
Brain Death Neurologic Examination 25 September 2011 Dr (Brig) YD Singh Facial Sensations & Motor Response ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Death : Apnoea Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : Apnoea Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : Apnoea Test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Ancillary Confirmatory Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Confirmatory Testing 25 September 2011 Dr (Brig) YD Singh Electro-Cerebral Silence Normal EEG
Brain Death Confirmatory Testing 25 September 2011 Dr (Brig) YD Singh No Intra- Cranial Flow Normal Cerebral Angiography
PET Glucose Metabolism Studies 25 September 2011 Dr (Brig) YD Singh “ Hollow-skull sign” of brain death Cerebral metabolism globally reduced ~50% Normal Nature Rev Neurosci 2005;6:899-909
Dynamic Nuclear Brain Scan 25 September 2011 Dr (Brig) YD Singh “ Hollow-skull sign” of brain death NEJM 2001;344:1215-1221
Conditions Distinct from Brain Death ,[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Persistent Vegetative state ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Persistent Vegetative state 25 September 2011 Dr (Brig) YD Singh Aruna Ramachandra Shanbag Mumbai
Locked in Syndrome 25 September 2011 Dr (Brig) YD Singh Ventral Pontine Infarct ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Death Conclusions ,[object Object],[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death Conclusions ,[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Brain Death : Present Status ,[object Object],[object Object],[object Object],25 September 2011 Dr (Brig) YD Singh
Thanks !! 25 September 2011 Dr (Brig) YD Singh

Recommended

Brain death
Brain deathBrain death
Brain death
Dr. Sanjoy Ray
 
Brain death
Brain deathBrain death
Brain death
Mohammed Al Siraj IBRAHIM
 
Cerebral Blood Flow and its Regulation
Cerebral Blood Flow and its RegulationCerebral Blood Flow and its Regulation
Cerebral Blood Flow and its Regulation
Dr Kaushal Deep Singh Mathuria
 
Cerebral circulation
Cerebral circulationCerebral circulation
Cerebral circulation
Dr Nilesh Kate
 
Brain death
Brain deathBrain death
Brain death
Ram Naik M
 
Cerebral blood flow & intracranial pressure
Cerebral blood flow & intracranial pressureCerebral blood flow & intracranial pressure
Cerebral blood flow & intracranial pressure
Sharath !!!!!!!!
 
BRAIN DEATH.pptx
BRAIN DEATH.pptxBRAIN DEATH.pptx
BRAIN DEATH.pptx
NeurologyKota
 
How to read a brain ct scan moderate
How to read a brain ct scan moderateHow to read a brain ct scan moderate
How to read a brain ct scan moderate
Gauhar Azeem
 

Recommended

Brain death
Brain deathBrain death
Brain death
Dr. Sanjoy Ray
 
Brain death
Brain deathBrain death
Brain death
Mohammed Al Siraj IBRAHIM
 
Cerebral Blood Flow and its Regulation
Cerebral Blood Flow and its RegulationCerebral Blood Flow and its Regulation
Cerebral Blood Flow and its Regulation
Dr Kaushal Deep Singh Mathuria
 
Cerebral circulation
Cerebral circulationCerebral circulation
Cerebral circulation
Dr Nilesh Kate
 
Brain death
Brain deathBrain death
Brain death
Ram Naik M
 
Cerebral blood flow & intracranial pressure
Cerebral blood flow & intracranial pressureCerebral blood flow & intracranial pressure
Cerebral blood flow & intracranial pressure
Sharath !!!!!!!!
 
BRAIN DEATH.pptx
BRAIN DEATH.pptxBRAIN DEATH.pptx
BRAIN DEATH.pptx
NeurologyKota
 
How to read a brain ct scan moderate
How to read a brain ct scan moderateHow to read a brain ct scan moderate
How to read a brain ct scan moderate
Gauhar Azeem
 
Mortality morbidity risk
Mortality morbidity riskMortality morbidity risk
Mortality morbidity risk
Claudio Melloni
 
Post cardiac arrest syndrome
Post cardiac arrest syndromePost cardiac arrest syndrome
Post cardiac arrest syndromeDarls
 
Brain death
Brain deathBrain death
Brain death
Srirama Anjaneyulu
 
Fluid management in Neurosurgery
Fluid management in NeurosurgeryFluid management in Neurosurgery
Fluid management in Neurosurgery
Dr. Tanmoy Roy
 
Cerebral blood flow
Cerebral blood flowCerebral blood flow
Cerebral blood flow
Rajendra Institute of Medical Sciences, Ranchi.
 
Brain death and care for cadaveric organ donar
Brain death and care for cadaveric organ donarBrain death and care for cadaveric organ donar
Brain death and care for cadaveric organ donar
Krishna R
 
DAWN and DEFUSE 3 trial
DAWN and DEFUSE 3 trialDAWN and DEFUSE 3 trial
DAWN and DEFUSE 3 trial
Sun Yai-Cheng
 
Brain Death- Updated Guidelines
Brain Death- Updated GuidelinesBrain Death- Updated Guidelines
Brain Death- Updated GuidelinesJay-ar Palec
 
Intracranial pressure - waveforms and monitoring
Intracranial pressure - waveforms and monitoringIntracranial pressure - waveforms and monitoring
Intracranial pressure - waveforms and monitoring
joemdas
 
Edward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman | Introduction to NeuroanesthesiaEdward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman
 
Brain death
Brain deathBrain death
Brain death
Nirav Dhinoja
 
Post cranial fossa surgery and anesthesia considerations
Post cranial fossa surgery and anesthesia considerationsPost cranial fossa surgery and anesthesia considerations
Post cranial fossa surgery and anesthesia considerationsVkas Subedi
 
Cardiac reflexes & Anaesthetic Implications
Cardiac reflexes & Anaesthetic ImplicationsCardiac reflexes & Anaesthetic Implications
Cardiac reflexes & Anaesthetic Implications
Dr.Daber Pareed
 
Brain death
Brain deathBrain death
Brain death
Sreevidya V S
 
ASRA Guidelines
ASRA GuidelinesASRA Guidelines
ASRA Guidelines
KGMU, Lucknow
 
Awake craniotomy
Awake craniotomy Awake craniotomy
Awake craniotomy
samaresh Drsamareshdas
 
Anaesthesia for supratentorail mass
Anaesthesia for supratentorail massAnaesthesia for supratentorail mass
Anaesthesia for supratentorail massDhritiman Chakrabarti
 
Autoregulation of cerebral blood flow
Autoregulation of cerebral blood flowAutoregulation of cerebral blood flow
Autoregulation of cerebral blood flow
Ahmed Mahmood
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryDhritiman Chakrabarti
 
Sharath neuro monitoring
Sharath neuro monitoringSharath neuro monitoring
Sharath neuro monitoringSharath Chandra Bheemshetty
 
Criteria of Brain Death
Criteria of Brain DeathCriteria of Brain Death
Criteria of Brain Death
walid maani
 
Brain death
Brain deathBrain death
Brain deathAjeet Singh
 

More Related Content

What's hot

Mortality morbidity risk
Mortality morbidity riskMortality morbidity risk
Mortality morbidity risk
Claudio Melloni
 
Post cardiac arrest syndrome
Post cardiac arrest syndromePost cardiac arrest syndrome
Post cardiac arrest syndromeDarls
 
Brain death
Brain deathBrain death
Brain death
Srirama Anjaneyulu
 
Fluid management in Neurosurgery
Fluid management in NeurosurgeryFluid management in Neurosurgery
Fluid management in Neurosurgery
Dr. Tanmoy Roy
 
Cerebral blood flow
Cerebral blood flowCerebral blood flow
Cerebral blood flow
Rajendra Institute of Medical Sciences, Ranchi.
 
Brain death and care for cadaveric organ donar
Brain death and care for cadaveric organ donarBrain death and care for cadaveric organ donar
Brain death and care for cadaveric organ donar
Krishna R
 
DAWN and DEFUSE 3 trial
DAWN and DEFUSE 3 trialDAWN and DEFUSE 3 trial
DAWN and DEFUSE 3 trial
Sun Yai-Cheng
 
Brain Death- Updated Guidelines
Brain Death- Updated GuidelinesBrain Death- Updated Guidelines
Brain Death- Updated GuidelinesJay-ar Palec
 
Intracranial pressure - waveforms and monitoring
Intracranial pressure - waveforms and monitoringIntracranial pressure - waveforms and monitoring
Intracranial pressure - waveforms and monitoring
joemdas
 
Edward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman | Introduction to NeuroanesthesiaEdward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman
 
Brain death
Brain deathBrain death
Brain death
Nirav Dhinoja
 
Post cranial fossa surgery and anesthesia considerations
Post cranial fossa surgery and anesthesia considerationsPost cranial fossa surgery and anesthesia considerations
Post cranial fossa surgery and anesthesia considerationsVkas Subedi
 
Cardiac reflexes & Anaesthetic Implications
Cardiac reflexes & Anaesthetic ImplicationsCardiac reflexes & Anaesthetic Implications
Cardiac reflexes & Anaesthetic Implications
Dr.Daber Pareed
 
Brain death
Brain deathBrain death
Brain death
Sreevidya V S
 
ASRA Guidelines
ASRA GuidelinesASRA Guidelines
ASRA Guidelines
KGMU, Lucknow
 
Awake craniotomy
Awake craniotomy Awake craniotomy
Awake craniotomy
samaresh Drsamareshdas
 
Autoregulation of cerebral blood flow
Autoregulation of cerebral blood flowAutoregulation of cerebral blood flow
Autoregulation of cerebral blood flow
Ahmed Mahmood
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryDhritiman Chakrabarti
 

What's hot (20)

Mortality morbidity risk
Mortality morbidity riskMortality morbidity risk
Mortality morbidity risk
 
Post cardiac arrest syndrome
Post cardiac arrest syndromePost cardiac arrest syndrome
Post cardiac arrest syndrome
 
Brain death
Brain deathBrain death
Brain death
 
Fluid management in Neurosurgery
Fluid management in NeurosurgeryFluid management in Neurosurgery
Fluid management in Neurosurgery
 
Cerebral blood flow
Cerebral blood flowCerebral blood flow
Cerebral blood flow
 
Brain death and care for cadaveric organ donar
Brain death and care for cadaveric organ donarBrain death and care for cadaveric organ donar
Brain death and care for cadaveric organ donar
 
DAWN and DEFUSE 3 trial
DAWN and DEFUSE 3 trialDAWN and DEFUSE 3 trial
DAWN and DEFUSE 3 trial
 
Brain Death- Updated Guidelines
Brain Death- Updated GuidelinesBrain Death- Updated Guidelines
Brain Death- Updated Guidelines
 
Intracranial pressure - waveforms and monitoring
Intracranial pressure - waveforms and monitoringIntracranial pressure - waveforms and monitoring
Intracranial pressure - waveforms and monitoring
 
Edward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman | Introduction to NeuroanesthesiaEdward Fohrman | Introduction to Neuroanesthesia
Edward Fohrman | Introduction to Neuroanesthesia
 
Brain death
Brain deathBrain death
Brain death
 
Post cranial fossa surgery and anesthesia considerations
Post cranial fossa surgery and anesthesia considerationsPost cranial fossa surgery and anesthesia considerations
Post cranial fossa surgery and anesthesia considerations
 
Cardiac reflexes & Anaesthetic Implications
Cardiac reflexes & Anaesthetic ImplicationsCardiac reflexes & Anaesthetic Implications
Cardiac reflexes & Anaesthetic Implications
 
Brain death
Brain deathBrain death
Brain death
 
ASRA Guidelines
ASRA GuidelinesASRA Guidelines
ASRA Guidelines
 
Awake craniotomy
Awake craniotomy Awake craniotomy
Awake craniotomy
 
Anaesthesia for supratentorail mass
Anaesthesia for supratentorail massAnaesthesia for supratentorail mass
Anaesthesia for supratentorail mass
 
Autoregulation of cerebral blood flow
Autoregulation of cerebral blood flowAutoregulation of cerebral blood flow
Autoregulation of cerebral blood flow
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgery
 
Sharath neuro monitoring
Sharath neuro monitoringSharath neuro monitoring
Sharath neuro monitoring
 

Viewers also liked

Criteria of Brain Death
Criteria of Brain DeathCriteria of Brain Death
Criteria of Brain Death
walid maani
 
Management of organ donor following brain death 2016
Management of organ donor following brain death 2016Management of organ donor following brain death 2016
Management of organ donor following brain death 2016
intentdoc
 
Brain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ DonationBrain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ Donation
Ranjith Thampi
 
Brain death n drowning
Brain death n drowningBrain death n drowning
Brain death n drowning
Santosh Mogali
 
Brain death and organ donation
Brain death and organ donationBrain death and organ donation
Brain death and organ donation
Dr Praveen kumar tripathi
 
Brain death in ICU
Brain death in ICUBrain death in ICU
Brain death in ICU
Sherif Elbadrawy
 
Brain death presentation
Brain death presentationBrain death presentation
Brain death presentation
Solomon Alemu
 
Clinical death
Clinical deathClinical death
Clinical deathErasmus+
 
Frequently Asked Questions about the Locked-In Syndrome
Frequently Asked Questions about the Locked-In SyndromeFrequently Asked Questions about the Locked-In Syndrome
Frequently Asked Questions about the Locked-In Syndrome
Femke Nijboer
 
Cerebral circulation and brain stem syndromes
Cerebral circulation and brain stem syndromesCerebral circulation and brain stem syndromes
Cerebral circulation and brain stem syndromes
DrRudra Naresh
 
Coordinating conjunctions pre ac
Coordinating conjunctions pre acCoordinating conjunctions pre ac
Coordinating conjunctions pre ac
chanella cubbins
 
stroke
strokestroke
stroke
Harmandeep Kaur
 

Viewers also liked (20)

Criteria of Brain Death
Criteria of Brain DeathCriteria of Brain Death
Criteria of Brain Death
 
Brain death
Brain deathBrain death
Brain death
 
Brain death f
Brain death fBrain death f
Brain death f
 
Management of organ donor following brain death 2016
Management of organ donor following brain death 2016Management of organ donor following brain death 2016
Management of organ donor following brain death 2016
 
B R A I N D E A T H
B R A I N D E A T HB R A I N D E A T H
B R A I N D E A T H
 
The medical ethics of brain death rev 2
The medical ethics of brain death rev 2The medical ethics of brain death rev 2
The medical ethics of brain death rev 2
 
Brain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ DonationBrain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ Donation
 
Dr. Cohen
Dr. CohenDr. Cohen
Dr. Cohen
 
Brain death n drowning
Brain death n drowningBrain death n drowning
Brain death n drowning
 
Brain death and organ donation
Brain death and organ donationBrain death and organ donation
Brain death and organ donation
 
Brain death in ICU
Brain death in ICUBrain death in ICU
Brain death in ICU
 
Brain death
Brain deathBrain death
Brain death
 
Brain death presentation
Brain death presentationBrain death presentation
Brain death presentation
 
Clinical death
Clinical deathClinical death
Clinical death
 
Frequently Asked Questions about the Locked-In Syndrome
Frequently Asked Questions about the Locked-In SyndromeFrequently Asked Questions about the Locked-In Syndrome
Frequently Asked Questions about the Locked-In Syndrome
 
Coordinating
CoordinatingCoordinating
Coordinating
 
Cerebral circulation and brain stem syndromes
Cerebral circulation and brain stem syndromesCerebral circulation and brain stem syndromes
Cerebral circulation and brain stem syndromes
 
2
22
2
 
Coordinating conjunctions pre ac
Coordinating conjunctions pre acCoordinating conjunctions pre ac
Coordinating conjunctions pre ac
 
stroke
strokestroke
stroke
 

Similar to Brain death Present status YDS

Brain death current concepts and legal issues in india
Brain death current concepts and legal issues in indiaBrain death current concepts and legal issues in india
Brain death current concepts and legal issues in india
NeurologyKota
 
Brain death
Brain deathBrain death
Brain death
Johny Wilbert
 
braindeath-170130094059.pdf
braindeath-170130094059.pdfbraindeath-170130094059.pdf
braindeath-170130094059.pdf
prakashPatel156238
 
Brain death
Brain death Brain death
Brain death
DR HARDEV SINGH
 
braindeath-170130094059.pptx
braindeath-170130094059.pptxbraindeath-170130094059.pptx
braindeath-170130094059.pptx
prakashPatel156238
 
Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill KnightDeath by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill Knight
SMACC Conference
 
braindeath-180612172939.pdf
braindeath-180612172939.pdfbraindeath-180612172939.pdf
braindeath-180612172939.pdf
prakashPatel156238
 
Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...
Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...
Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...
InsideScientific
 
Zelman vladimir exploring new frontiers of brain preservation and protection
Zelman vladimir exploring new frontiers of brain preservation and protectionZelman vladimir exploring new frontiers of brain preservation and protection
Zelman vladimir exploring new frontiers of brain preservation and protectionigorod
 
AAYUSH PPT.pptx
AAYUSH PPT.pptxAAYUSH PPT.pptx
AAYUSH PPT.pptx
priyankkumar59
 
Francesco Procaccio Italy - Monday 28 - ICU and Organ Donation
Francesco Procaccio Italy - Monday 28 - ICU and Organ DonationFrancesco Procaccio Italy - Monday 28 - ICU and Organ Donation
Francesco Procaccio Italy - Monday 28 - ICU and Organ Donationincucai_isodp
 
Prehospital induced hypothermia post cardiac arrest jun 2010[1]
Prehospital induced hypothermia post cardiac arrest jun 2010[1]Prehospital induced hypothermia post cardiac arrest jun 2010[1]
Prehospital induced hypothermia post cardiac arrest jun 2010[1]Robert Cole
 
B R A I N S T E M D E A T H T E S T
B R A I N S T E M D E A T H T E S TB R A I N S T E M D E A T H T E S T
B R A I N S T E M D E A T H T E S T
Naushad Ali
 
Syncope
Syncope Syncope
Syncope
SMSRAZA
 
Syncope
Syncope Syncope
Syncope SMSRAZA
 
Death and signs of death
Death and signs of deathDeath and signs of death
Death and signs of death
Abiola Mubarak Mohammed
 
Guiseppe Citerio - The black box revelation - IFAD 2012
Guiseppe Citerio - The black box revelation - IFAD 2012Guiseppe Citerio - The black box revelation - IFAD 2012
Guiseppe Citerio - The black box revelation - IFAD 2012
International Fluid Academy
 

Similar to Brain death Present status YDS (20)

Brain death current concepts and legal issues in india
Brain death current concepts and legal issues in indiaBrain death current concepts and legal issues in india
Brain death current concepts and legal issues in india
 
Death thoa
Death thoaDeath thoa
Death thoa
 
Brain death
Brain deathBrain death
Brain death
 
braindeath-170130094059.pdf
braindeath-170130094059.pdfbraindeath-170130094059.pdf
braindeath-170130094059.pdf
 
Brain death
Brain death Brain death
Brain death
 
braindeath-170130094059.pptx
braindeath-170130094059.pptxbraindeath-170130094059.pptx
braindeath-170130094059.pptx
 
Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill KnightDeath by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill Knight
 
braindeath-180612172939.pdf
braindeath-180612172939.pdfbraindeath-180612172939.pdf
braindeath-180612172939.pdf
 
Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...
Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...
Data Collection & Analysis in Human Autonomic Research: How to Guide to Succe...
 
Zelman vladimir exploring new frontiers of brain preservation and protection
Zelman vladimir exploring new frontiers of brain preservation and protectionZelman vladimir exploring new frontiers of brain preservation and protection
Zelman vladimir exploring new frontiers of brain preservation and protection
 
AAYUSH PPT.pptx
AAYUSH PPT.pptxAAYUSH PPT.pptx
AAYUSH PPT.pptx
 
Francesco Procaccio Italy - Monday 28 - ICU and Organ Donation
Francesco Procaccio Italy - Monday 28 - ICU and Organ DonationFrancesco Procaccio Italy - Monday 28 - ICU and Organ Donation
Francesco Procaccio Italy - Monday 28 - ICU and Organ Donation
 
Prehospital induced hypothermia post cardiac arrest jun 2010[1]
Prehospital induced hypothermia post cardiac arrest jun 2010[1]Prehospital induced hypothermia post cardiac arrest jun 2010[1]
Prehospital induced hypothermia post cardiac arrest jun 2010[1]
 
Brain death adults
Brain death adultsBrain death adults
Brain death adults
 
B R A I N S T E M D E A T H T E S T
B R A I N S T E M D E A T H T E S TB R A I N S T E M D E A T H T E S T
B R A I N S T E M D E A T H T E S T
 
Syncope
Syncope Syncope
Syncope
 
Syncope
Syncope Syncope
Syncope
 
Timmons, Shelly
Timmons, ShellyTimmons, Shelly
Timmons, Shelly
 
Death and signs of death
Death and signs of deathDeath and signs of death
Death and signs of death
 
Guiseppe Citerio - The black box revelation - IFAD 2012
Guiseppe Citerio - The black box revelation - IFAD 2012Guiseppe Citerio - The black box revelation - IFAD 2012
Guiseppe Citerio - The black box revelation - IFAD 2012
 

Recently uploaded

Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
Knee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdfKnee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdf
vimalpl1234
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
greendigital
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORSBRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
Krishan Murari
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Gram Stain introduction, principle, Procedure
Gram Stain introduction, principle, ProcedureGram Stain introduction, principle, Procedure
Gram Stain introduction, principle, Procedure
Suraj Goswami
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
Top-Vitamin-Supplement-Brands-in-India.pptx
Top-Vitamin-Supplement-Brands-in-India.pptxTop-Vitamin-Supplement-Brands-in-India.pptx
Top-Vitamin-Supplement-Brands-in-India.pptx
SwisschemDerma
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
MedicoseAcademics
 
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptxSURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
Bright Chipili
 
Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
chandankumarsmartiso
 

Recently uploaded (20)

Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
Knee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdfKnee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdf
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORSBRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 
Gram Stain introduction, principle, Procedure
Gram Stain introduction, principle, ProcedureGram Stain introduction, principle, Procedure
Gram Stain introduction, principle, Procedure
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
Top-Vitamin-Supplement-Brands-in-India.pptx
Top-Vitamin-Supplement-Brands-in-India.pptxTop-Vitamin-Supplement-Brands-in-India.pptx
Top-Vitamin-Supplement-Brands-in-India.pptx
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
 
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptxSURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
SURGICAL ANATOMY OF THE RETROPERITONEUM, ADRENALS, KIDNEYS AND URETERS.pptx
 
Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 9719300533 #ℂall #gIRL in Dehradun
 

Brain death Present status YDS

  • 1. Dr (Brig) YD Singh MBBS, MD, FIACM, DIT Professor (Internal Medicine) SKN Medical College & Gen Hospital Pune 411 041
  • 2.
  • 3. Normal Brain Anatomy 25 September 2011 Dr (Brig) YD Singh Cerebral Cortex Brain Stem Reticular Activating System Receives multiple sensory inputs & Mediates Consciousness (wakefulness)
  • 4. Two Dimensions of Consciousness 25 September 2011 Dr (Brig) YD Singh
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Causes: Brain Death 25 September 2011 Dr (Brig) YD Singh Normal Cerebral Anoxia
  • 17. Causes: Brain Death 25 September 2011 Dr (Brig) YD Singh Normal Cerebral Haemorrhage
  • 18. Causes: Brain Death 25 September 2011 Dr (Brig) YD Singh Normal Cerebral Trauma
  • 19. Brain Death : Mechanism 25 September 2011 Dr (Brig) YD Singh Neuronal Injury Decreased Intracranial Blood Flow Neuronal Swelling Increased Intracranial Pressure ICP > MAP is incompatible with life
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Brain Death Neurologic Examination 25 September 2011 Dr (Brig) YD Singh Pupils dilated with no constriction to bright light
  • 25.
  • 26. Brain Death Neurologic Examination 25 September 2011 Dr (Brig) YD Singh Occulo-Vestibular Response “ Cold Caloric Testing” Normal Response in Coma No Response in Brain Stem Death
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32. Brain Death Confirmatory Testing 25 September 2011 Dr (Brig) YD Singh Electro-Cerebral Silence Normal EEG
  • 33. Brain Death Confirmatory Testing 25 September 2011 Dr (Brig) YD Singh No Intra- Cranial Flow Normal Cerebral Angiography
  • 34. PET Glucose Metabolism Studies 25 September 2011 Dr (Brig) YD Singh “ Hollow-skull sign” of brain death Cerebral metabolism globally reduced ~50% Normal Nature Rev Neurosci 2005;6:899-909
  • 35. Dynamic Nuclear Brain Scan 25 September 2011 Dr (Brig) YD Singh “ Hollow-skull sign” of brain death NEJM 2001;344:1215-1221
  • 36.
  • 37.
  • 38.
  • 39. Persistent Vegetative state 25 September 2011 Dr (Brig) YD Singh Aruna Ramachandra Shanbag Mumbai
  • 40.
  • 41.
  • 42.
  • 43.
  • 44. Thanks !! 25 September 2011 Dr (Brig) YD Singh