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Stem Death (stem + death)

Distribution by Scientific Domains
Medical Sciences75%

Selected Abstracts

Progression of Organ Failure in Patients Approaching Brain Stem Death

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 6 2009
F. T. Lytle
We performed a retrospective cohort study to document the progression of organ dysfunction in 182 critically ill adult patients who subsequently met criteria for brain stem death (BSD). Patients were admitted to intensive care units (ICUs) of Mayo Medical Center, Rochester, MN, between January 1996 and December 2006. Daily sequential organ failure assessment (SOFA) scores were used to assess the degree of organ dysfunction. Serial SOFA scores were analyzed using analysis of variance (ANOVA). Mean (standard deviation, SD) SOFA score on the first ICU day was 8.9 (3.2). SOFA scores did not significantly change over the course of ICU stay. 67.6% of patients donated one or more organs after BSD was declared. The median time from ICU admission to declaration of BSD was 18.8 h (interquartile range 10.3,45.0), and in those who donated organs, the time from declaration of BSD to organ retrieval was 11.8 h (9.5,17.6). The fact that mean SOFA scores did not change significantly over time, even after BSD occurred, has implications for the timing of retrieval of organs for transplantation. [source]

Comparative fire ecology of tropical savanna and forest trees

FUNCTIONAL ECOLOGY, Issue 6 2003
William A. Hoffmann
Summary 1Fire is important in the dynamics of savanna,forest boundaries, often maintaining a balance between forest advance and retreat. 2We performed a comparative ecological study to understand how savanna and forest species differ in traits related to fire tolerance. We compared bark thickness, root and stem carbohydrates, and height of reproductive individuals within 10 congeneric pairs, each containing one savanna and one forest species. 3Bark thickness of savanna species averaged nearly three times that of forest species, thereby reducing the risk of stem death during fire. The allometric relationship between bark thickness and stem diameter differed between these two tree types, with forest species tending to have a larger allometric coefficient. 4The height of reproductive individuals of forest species averaged twice that of congeneric savanna species. This should increase the time necessary for forest species to reach reproductive size, thereby reducing their capacity to reach maturity in the time between consecutive fires. 5There was no difference in total non-structural carbohydrate content of stems or roots between savanna and forest species, though greater allocation to total root biomass by savanna species probably confers greater capacity to resprout following fire. 6These differences in fire-related traits may largely explain the greater capacity of savanna species to persist in the savanna environment. [source]

Progression of Organ Failure in Patients Approaching Brain Stem Death

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 6 2009
F. T. Lytle
We performed a retrospective cohort study to document the progression of organ dysfunction in 182 critically ill adult patients who subsequently met criteria for brain stem death (BSD). Patients were admitted to intensive care units (ICUs) of Mayo Medical Center, Rochester, MN, between January 1996 and December 2006. Daily sequential organ failure assessment (SOFA) scores were used to assess the degree of organ dysfunction. Serial SOFA scores were analyzed using analysis of variance (ANOVA). Mean (standard deviation, SD) SOFA score on the first ICU day was 8.9 (3.2). SOFA scores did not significantly change over the course of ICU stay. 67.6% of patients donated one or more organs after BSD was declared. The median time from ICU admission to declaration of BSD was 18.8 h (interquartile range 10.3,45.0), and in those who donated organs, the time from declaration of BSD to organ retrieval was 11.8 h (9.5,17.6). The fact that mean SOFA scores did not change significantly over time, even after BSD occurred, has implications for the timing of retrieval of organs for transplantation. [source]

Brain stem death testing after thiopental use: a survey of UK neuro critical care practice,

ANAESTHESIA, Issue 11 2006
O. W. Pratt
Summary A postal survey was conducted to determine how thiopental is used in UK neurosurgery critical care units. Thirty units were contacted and 26 replied. Thiopental is used in 23 units. The majority (60%) of these units govern the use of thiopental with protocols or guidelines and 74% use cerebral monitoring to guide dosage. When patients have had thiopental, 20 units delay brain stem testing, two will not perform tests and one unit incorporates cerebral angiography into their protocol. Twelve units use serum thiopental assays in their brain stem testing procedures, but there is wide variation in the interpretation of the results. We found inconsistency and confusion surrounding brain stem testing in this patient group, raising the possibility of misdiagnosis of brain stem death. [source]