Teleneurology-enabled determination of death by neurologic criteria

Takeaway

  • Teleneurology (TN) consultations in patients with severe neurologic damage, and to allow expert supervision for death by neurologic criteria (DNC) examination are feasible.

Why this matters

  • DNC is accepted as equivalent to cardiopulmonary death in the US, requiring clinical expertise, detailed neurologic testing and occasional interpretation of ancillary testing; and TN has proved beneficial to populations with restricted access to neurology care and in the current pandemic setting.

  • The feasibility of TN consultations in patients with severe neurologic damage may gradually result in fewer onsite neurologists being required in centers with TN facilities, leading to reduced costs for healthcare systems, as well as helping to overcome pandemic-related social distancing issues; however, further study is required for reliability and validation.