Carotid duplex for determination of brain death
Transplant surgeon here, I just reviewed a paper for an esteemed Transplantation journal that suggested that point of care carotid duplex would be a cheaper, faster way to determine brain death in potential donors with confounding factors, such as medically induced coma, etc. It sounded like baloney to me; POCUS is great for things like sticking a needle in a vessel or a collection, or an FAST scan, but I would be terribly uncomfortable with someone thinking they could determine whether or not a patient was brain dead using it if they were not fully trained radiologists, and even then I’m not sure what the accuracy of the test would be. The review is already submitted, but I would love to hear anybody else’s thoughts.