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INTRODUCTION: Apnea testing remains essential for the clinical evaluation of brain death determination. In patients who test positive for SARS-CoV-2, disconnecting the patient from the ventilator and introducing high flow oxygen into the endotracheal tube increases the risk for aerosolization of airway secretions and exposure of the examiner. METHODS: Case report of a patient with an intracerebral hemorrhage that evolved to significant cerebral edema and herniation, who underwent apnea test using a method involving a t-piece and an HME filter. RESULTS: Patient successfully pronounced brain dead using a safe method to minimize exposure to SARS-CoV-2. CONCLUSION: At a time where healthcare workers are at high risk of exposure to COVID-19, the above described method is a safe process for apnea testing in declaration of brain death.
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10.1016/j.jstrokecerebrovasdis.2020.105419
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document_parses/pdf_json/f30e1ff43568039f171059f4e20e96f7b51fb895.json
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document_parses/pmc_json/PMC7577670.xml.json
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?:title
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Challenges in Brain Death Determination and Apnea Testing for Patients with COVID-19
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