Abstract

Brain death is a critical and complex diagnosis in the medical field, necessitating precise and methodical evaluation. Anaesthesiologists play a pivotal role in this process, ensuring that the determination of brain death is accurate and ethically sound. This review examines the criteria and protocols for diagnosing brain death, the physiological and clinical challenges involved, and the crucial contributions of anaesthesiologists. We discuss the integration of neuroimaging and electrophysiological studies, the management of potential confounders such as intoxication or hypothermia, and the importance of maintaining homeostasis in potential organ donors. The involvement of anaesthesiologists in organ donation procedures, including maintaining optimal organ function and coordinating with transplant teams, is also explored. By highlighting the multi-faceted responsibilities of anaesthesiologists in the context of brain death, this review underscores their essential role in ensuring that diagnoses are made with the highest degree of accuracy and ethical consideration.

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