First, the 2005 guidelines recommended two clinical assessments of brain stem reflexes before an apnea test was performed, whereas these guidelines recommend one comprehensive clinical assessment prior to an apnea test. These updated guidelines make two significant modifications to the 2005 guidelines, as well as a number of smaller changes to certain clinical parameters. Revisions to the 2005 Brain Death Determination Guidelines They also draw upon a consensus-building process that included ethical, legal and clinical review by the New York State Task Force on Life and the Law, as well as recommendations by an outside working group of expert physicians from across the State. They incorporate the guidelines of the American Academy of Neurology (AAN), initially released in 1995 and revised in 2010. The guidelines contained in this document, which revise and update New York's 2005 guidelines, represent a broad consensus on the criteria for determining brain death. The Department of Health hopes that the issuance of these guidelines not only will help educate health care providers regarding such determinations, but also will increase the public's confidence that such determinations are made after a thorough and careful evaluation in accordance with accepted medical standards. This document provides guidance for determining brain death, aims to increase knowledge amongst health care practitioners about the clinical evaluation of brain death, and reduces the potential for variations in brain death determination policies and practices amongst facilities and practitioners within New York State. New York State Task Force on Life and the Law November 2011 Background Guidelines for Determining Brain Death is also available as a PDF.All Health Care Professionals & Patient Safety.Clinical Guidelines, Standards & Quality of Care. Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records.
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