The American Committee, followed by the British, consisting of experts in various fields, in 1968 and 1976, respectively, reached the following consensus: "If a brain stem is dead, a brain is dead, if a brain is dead, a person is dead..." In the last few years, definition of brain death was necessary due to organ transplantation. Most of criteria verifying brain death do not include the specific determinants of brain death in children. This paper specifies the most up-to-date guidelines for diagnosis of brain death in children of various ages.
The progress of anesthesiology and surgery makes it possible for most of the interventions to be preformed during day surgery. The objective of this study was, by the analysis of patients who had undergone day surgery and with respect of procedure and patients selection criteria, to show that this mode of treatment is efficient, safe and money saving. Retrospective study consisted of 2078 children, aged 6 months to 14 years, ASA I-II, subjected to various interventions at the Day Surgical Department of the University Children?s Hospital in Belgrade. The analysis of the results demonstrated that just few patients had postoperative complications, unrelated to applied anesthesia and premedication. No case was reported to be hospitalized due to postoperative complications. Temporary and rare postoperative complications, short separation of children from their parents, and reduced treatment costs indicate that such trend of management should be continued.