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Key messages from a guideline The diagnosis of death by neurological criteria in infants less than 2 months old: RCPCH guideline 2015
  1. Dilshad Marikar
  1. Correspondence to Dr Dilshad Marikar, Department of Paediatrics, Peterborough Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, Cambridgeshire PE3 9GZ, UK; dilshad.marikar{at}nhs.net

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This report by the Royal College of Paediatrics and Child Health (RCPCH) presents evidence-based recommendations for the diagnosis of death by neurological criteria (DNC) in infants aged between 37 weeks corrected gestation and 2 months post term.

What do I need to know before DNC can be confirmed?

The preconditions specified in the 2008 Academy of Medical Royal College's (AoMRC's) code of practice1 should be fulfilled:

  • The patient is in a coma and requiring mechanical ventilation for apnoea.

  • A diagnosis of structural brain damage …

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