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Salar, Doctor
Category: Health
Satisfied Customers: 9049
Experience:  int.medicine board eligible, research fellowship cardiology.. working at UTMCK
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How can a declared brain dead patient remain intubated

Customer Question

how long can a declared brain dead patient remain intubated
Submitted: 8 years ago.
Category: Health
Customer: replied 8 years ago.
Optional Information:
Age: 36; Male, California
Already Tried:
How long could a declared brain dead patient remain intubated in the hospital, and would medicare paid for services for brain dead patient. What are the legalities of this issue.
Expert:  Salar replied 8 years ago.
usually when a patient has been declared brain dead by the standard measures... endotracheal tubes are pulled out without further delay as there is no added benefits of it plus the hospital needs ICU beds for alive patients . Once documented by the doctor in patient notes that its brain death by standard measures and family notified the doctors have right to withdraw support with family's consent. if the family wants second opinion then they may involve neurology or if they have unreasonable expectations then ethics committee is involved. the endotracheal tubes can stay in for long but are usually not left after a reasonable time. I believe medicare would not pay after a reasonable period which could be a day or while second opinion is sorted. Alot depends on the local hospital policy and the way things are documented in charts.
Customer: replied 8 years ago.
According to the standards of care, and california law, how long can a brain dead patient keep the endotracheal tube, if the neurologist and the primary doctor declared the patient brain dead. Family is refusing to extubate the patient. Is the hospital covered under the law of california. Would medicare paid for the services in the ICU? What are some of the choices the hospital will have under california law.