Morte encefálica e a assistência de enfermagem na manutenção hemodinâmica do potencial doador

• Autor(a) principal: Costa, Jaqueline de Almeida
• Data de Publicação: 2023
• Outros Autores: Oliveira, Milena Alessa de
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://repositorio.pucsp.br/jspui/handle/handle/41989
• topic: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM; Enfermagem; Hemodinâmica; Morte encefálica; Potencial doador; Nursing; Hemodynamics; Brain death; Potential donor

Understanding the care process in the organ transplant scenario is essential to promote evidence-based care, valuing the role of nursing. Objectives: To analyze the instrument for evaluating the potential donor of the Hospital defined in the study, relating the records with hemodynamic maintenance for organ and tissue donation purposes. Methodology: This is a quantitative, descriptive, cross-sectional retrospective study. Performed at the Organ Procurement Organization (OPO) of the Regional Hospital of Sorocaba II ''Adib Domingos Jatene''. A convenience sample was collected from the medical records of the years 2022 and 2023, analyzing information on age, cause of death, length of stay, donation, nursing care that evaluated the condition of the cardiopulmonary, renal, immunological, hematological, and nutrition systems , metabolic and thermoregulation; and laboratory tests. Results: 71 medical records were analyzed, showing 24 (22.81%) of effective donations, as opposed to 47 (66.19%) of non-effective donations. The days of hospitalization vary between 01 and 54 days, with an average of (±5.3 days). The main cause of death found was Subarachnoid Hemorrhage (SAH) (26.76%). With a lack of nursing records ranging from 12 (16.90%) to 60 (84.50%) of the medical records. Conclusion: Hemodynamic instability represents one of the main obstacles in the continuous care of patients with Brain Death (BD). This underscores the importance of nurses having broad scientific knowledge about the physiological and hemodynamic changes associated with BD. However, high numbers of missing data imply a great loss for the general understanding of nursing care and impoverish the value of the work of this class, which greatly contributes to the effectiveness of organ donations