Background

A guideline to determine pediatric brain death was updated in 2011. It is unknown how pediatric intensivists have accepted and adopted the revised guideline into clinical practice. Methods: We surveyed US pediatric critical care attending physicians July 2013 to September 2013 and February 2020 to May 2020. Brain death testing practices and utilization of the 2011 pediatric and neonatal brain death guideline were assessed. Results: The 2020 respondents found that the revised pediatric brain death guideline were useful in clinical practice (93.7% vs 83.3%, P = .0484) and provided more consistency and clarity (73.2% vs 63.1%, P = .0462) when compared to 2013 respondents. Conclusion: This study demonstrates that with defined criteria, survey participants reported increased clarity and consistency. Findings from our study indicate that in clinical practice there is no significant deviation from the minimum requirements to determine brain death in children as outlined in the 2011 guideline.

中文翻译：

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小儿脑死亡判定更新指南对当前实践的影响

背景

2011 年更新了确定儿科脑死亡的指南。目前尚不清楚儿科重症医师如何接受修订后的指南并将其应用于临床实践。方法：我们在 2013 年 7 月至 2013 年 9 月和 2020 年 2 月至 2020 年 5 月对美国儿科重症监护主治医师进行了调查。评估了脑死亡测试实践和 2011 年儿科和新生儿脑死亡指南的使用情况。结果： 2020 年的受访者发现，修订后的儿科脑死亡指南在临床实践中非常有用（93.7% 对 83.3%，P  = .0484），并且在比较时提供了更高的一致性和清晰度（73.2% 对 63.1%，P  = .0462）到 2013 年的受访者。结论：这项研究表明，通过明确的标准，调查参与者报告了更高的清晰度和一致性。我们的研究结果表明，在临床实践中，2011 年指南中确定儿童脑死亡的最低要求没有显着偏差。