prikaz prve stranice dokumenta Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation
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Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation
International Journal of Obstetric Anesthesia, 32 (2017); 82-86. https://doi.org/10.1016/j.ijoa.2017.06.007
Gopčević, Aleksandar; Rode, Bojan; Vučić, Marinko; Horvat, Ana; Širanović, Mladen; Gavranović, Željka; Košec, Vesna; Košec, Andro

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Gopčević, A., Rode, B., Vučić, M., Horvat, A., Širanović, M., Gavranović, Ž. ... Košec, A. (2017). Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation. International Journal of Obstetric Anesthesia, 32., 82-86. doi: 10.1016/j.ijoa.2017.06.007

Gopčević, Aleksandar, et al. "Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation." International Journal of Obstetric Anesthesia, vol. 32, 2017, str. 82-86. https://doi.org/10.1016/j.ijoa.2017.06.007

Gopčević, Aleksandar, Bojan Rode, Marinko Vučić, Ana Horvat, Mladen Širanović, Željka Gavranović, Vesna Košec i Andro Košec. "Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation." International Journal of Obstetric Anesthesia 32 (2017): 82-86. https://doi.org/10.1016/j.ijoa.2017.06.007

Gopčević, A., et al. (2017) 'Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation', International Journal of Obstetric Anesthesia, 32, str. 82-86. doi: 10.1016/j.ijoa.2017.06.007

Gopčević A, Rode B, Vučić M, Horvat A, Širanović M, Gavranović Ž, i sur.. Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation. International Journal of Obstetric Anesthesia [Internet]. 2017. [pristupljeno 20.04.2024.];32:82-86. doi: 10.1016/j.ijoa.2017.06.007

A. Gopčević, et al., "Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation", International Journal of Obstetric Anesthesia, vol. 32, str. 82-86, 2017. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:220:285161. [Citirano: 20.04.2024.]

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Podaci o radu
Naslov (engleski)Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation
AutorAleksandar Gopčević
AutorBojan Rode
MBZ: 41266
AutorMarinko Vučić
AutorAna Horvat
AutorMladen Širanović
AutorŽeljka Gavranović
AutorVesna Košec
AutorAndro Košec
Autorova ustanova(Klinički bolnički centar Sestre milosrdnice)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
Maternal brain death during pregnancy remains an exceedingly complex situation that requires not only a well-considered medical management plan, but also careful decision-making in a legally and ethically delicate situation. Management of brain dead pregnant patients needs to adhere to special strategies that support the mother in a way that she can deliver a viable and healthy child. Brain death in pregnant women is very rare, with only a few published cases. We present a case of a pregnant woman with previously diagnosed multiple brain cavernomas that led to intracranial hemorrhage and brain stem death during the 21st week of pregnancy. The condition that can be proven unequivocally, using tests that do not endanger viability of the fetus, is brain stem death, diagnosed through absence of cranial reflexes. The patient was successfully treated until delivery of a healthy female child at 29 weeks of gestation. The patient received continuous hormone substitution therapy, fetal monitoring and extrinsic regulation of maternal homeostasis over 64 days. After delivery, the final diagnosis of brain death was established through multi-slice computerized tomography pan-angiography. This challenging case discusses ethical and medical circumstances arising from a diagnosis of maternal brain death, while showing that prolongation of somatic life support in a multidisciplinary setting can result in a successful pregnancy outcome.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Prikaz slučaja
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaInternational Journal of Obstetric Anesthesia
Brojčani podacivol. 32, str. 82-86
p-ISSN0959-289X
e-ISSN1532-3374
DOIhttps://doi.org/10.1016/j.ijoa.2017.06.007
URN:NBNurn:nbn:hr:220:285161
Datum objave publikacije2017
URL dokumentahttps://www.sciencedirect.com/science/article/abs/pii/S0959289X17300225?via%3Dihub
Vrsta resursaTekst
Prava pristupaInstitucijski pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2023-09-22 10:50:17