Variation in pediatric brain death determination protocols exists in the United States despite published guidelines

Takeaway

  • Almost ten years after publication of guidelines, there remains considerable variability among US institutional protocols for declaring death by neurologic criteria in children.

Why this matters

    This important study reveals variability in pediatric death by neurologic criteria protocols in all aspects of evaluation, particularly apnea testing and ancillary testing. Better alignment of death by neurologic criteria protocols with national guidelines are needed to improve the consistency and accuracy of death by neurologic criteria determination and avoid false positive determinations.