Morte encefálica no paciente adulto: uma revisão integrativa da literatura
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/38865 |
Resumo: | Brain death can be defined as the irreversible state of brain functions, considering the cerebral hemispheres as well as the brainstem. Two tests are required that can confirm the absence or cessation of brain stem activities for diagnosis of ED in Brazil. The search was used through survey and critical analysis of the documents published through the search platforms PubMed, Scielo and Lilacs. The following descriptors were used: "Brain death", "diagnosis", "adult" and "electroencephalogram", "Brain death AND electroencephalogram", "Brain death AND Noise AND electroencephalogram", "electroencephalograms AND Brain death" and "Brain death AND electroencephalogram AND intensivecareunits". The opening of the ED protocol should encompass all patients who present themselves as non-perceive, in absence of supra-spinal reactivity and in persistent apnea of known cause, irreversible and capable of causing such end, following a protocol of observation in a hospital environment. To start the protocol opening, it is necessary that there is a brain injury of known cause, irreversible and capable of causing ED, and absence of treatable factors that may confuse the diagnosis, treatment and observation in a hospital environment for the minimum period described, body temperature greater than 35° C, arterial oxygen saturation above 94% and systolic blood pressure greater than or equal to 100 mmHg. Measures are used to assess the level of consciousness, such as the Glasgow scale, as well as tests for the assessment of brain stem activity and the apnea test, which is mandatory for such diagnosis. Among the graphic tests, the electroencephalogram (EEG), cerebral angiography, Doppler Fluxometria transcraniana of cerebral arteries and scintigraphy are extremely relevant, being the EEG considered a feasible method performed at the bedside, low cost and low risk to the patient when compared to scintigraphy and arteriography. For diagnostic purposes in the protocol, the trained physician, with experience, will be responsible for the final report. |
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Morte encefálica no paciente adulto: uma revisão integrativa da literaturaBrain death in the adult patient: an integrative literature reviewMuerte encefálica en el paciente adulto: una revisión integradora de la literaturaMuerte encefálicaElectroencefalogramaDiagnóstico.Brain deathElectroencephalogramDiagnosis.Morte encefálicaEletroencefalogramaDiagnóstico.Brain death can be defined as the irreversible state of brain functions, considering the cerebral hemispheres as well as the brainstem. Two tests are required that can confirm the absence or cessation of brain stem activities for diagnosis of ED in Brazil. The search was used through survey and critical analysis of the documents published through the search platforms PubMed, Scielo and Lilacs. The following descriptors were used: "Brain death", "diagnosis", "adult" and "electroencephalogram", "Brain death AND electroencephalogram", "Brain death AND Noise AND electroencephalogram", "electroencephalograms AND Brain death" and "Brain death AND electroencephalogram AND intensivecareunits". The opening of the ED protocol should encompass all patients who present themselves as non-perceive, in absence of supra-spinal reactivity and in persistent apnea of known cause, irreversible and capable of causing such end, following a protocol of observation in a hospital environment. To start the protocol opening, it is necessary that there is a brain injury of known cause, irreversible and capable of causing ED, and absence of treatable factors that may confuse the diagnosis, treatment and observation in a hospital environment for the minimum period described, body temperature greater than 35° C, arterial oxygen saturation above 94% and systolic blood pressure greater than or equal to 100 mmHg. Measures are used to assess the level of consciousness, such as the Glasgow scale, as well as tests for the assessment of brain stem activity and the apnea test, which is mandatory for such diagnosis. Among the graphic tests, the electroencephalogram (EEG), cerebral angiography, Doppler Fluxometria transcraniana of cerebral arteries and scintigraphy are extremely relevant, being the EEG considered a feasible method performed at the bedside, low cost and low risk to the patient when compared to scintigraphy and arteriography. For diagnostic purposes in the protocol, the trained physician, with experience, will be responsible for the final report.La muerte cerebral puede ser definida como el estado irreversible de las funciones cerebrales, considerando los hemisferios cerebrales como también el tronco encefálico. Se requieren dos exámenes que puedan confirmar la ausencia o el cese de actividades del tronco cerebral para diagnóstico de ME en Brasil. Fue utilizada la búsqueda por medio de levantamiento y análisis crítico de los documentos publicados a través de las plataformas de búsqueda de PubMed, Scielo y Lilacs. Se han utilizado los siguientes descriptores: "Muerte encefálica", "diagnóstico", "adulto" y "electroencefalograma", "Brain death AND electroencephalogram", "Brain death AND Noise AND electroencephalogram", "electroencephalograms AND Brain death" y "Brain death AND electroencephalogran AND intensivecareunits". La apertura del protocolo de PEI debe abarcar a todos los pacientes que se presenten como no perceptivos, en ausencia de reactividad supraespinal y en apnea persistente de causa conocida, irreversible y capaz de causar tal fin, siguiendo protocolo de observación en ambiente hospitalario. Para iniciar la apertura del protocolo, es necesario que haya una lesión cerebral de causa conocida, irreversible y capaz de causar la ME, además de ausencia de factores tratables que puedan confundir el diagnóstico, tratamiento y observación en ambiente hospitalario por el período mínimo descrito, temperatura corporal superior a 35° C, saturación arterial de oxígeno por encima del 94% y presión arterial sistólica mayor o igual a 100 mmHg. Se utilizan medidas para la evaluación del nivel de conciencia, como la escala de Glasgow, además de pruebas para la evaluación de la actividad del tronco cerebral y la prueba de la apnea, que es obligatorio para dicho diagnóstico. Entre los tests gráficos, se hacen de extrema relevancia el electroencefalograma (EEG), la angiografía cerebral, la Doppler Fluxometría transcraneal de arterias cerebrales y la cintilografía, siendo el EEG considerado un método factible realizado al borde lecho, bajo costo y bajo riesgo para el paciente en comparación con la gammagrafía y arteriografía. Para fines de diagnóstico en el protocolo, el médico capacitado, con experiencia, se responsabilizará por el laudo final.Morte encefálica pode ser definida como o estado irreversível das funções cerebrais, considerando os hemisférios cerebrais como também o tronco encefálico. São exigidos dois exames que possam confirmar a ausência ou a cessação de atividades do tronco cerebral para diagnóstico de ME no Brasil. Foi utilizada a busca por meio de levantamento e análise crítica dos documentos publicados através das plataformas de busca da PubMed, Scielo e Lilacs. Foram utilizados os seguintes descritores: “Morte encefálica”, “diagnóstico”, “adulto” e “eletroencefalograma”, “brain death AND electroencephalogram”, “brain death AND noise AND electroencephalogram”, “electroencephalograms AND brain death” e “brain death AND electroencephalogram AND intensivecareunits”. A abertura do protocolo de ME deve englobar todos os pacientes que se apresentem como não perceptivos, em ausência de reatividade supra espinhal e em apneia persistente de causa conhecida, irreversível e capaz de causar tal fim, seguindo protocolo de observação em ambiente hospitalar. Para início da abertura de protocolo, é necessário que haja uma lesão encefálica de causa conhecida, irreversível e capaz de causar a ME, além de ausência de fatores tratáveis que possam confundir o diagnóstico, tratamento e observação em ambiente hospitalar pelo período mínimo descrito, temperatura corporal superior a 35° C, saturação arterial de oxigênio acima de 94% e pressão arterial sistólica maior ou igual a 100 mmHg. São utilizadas medidas para a avaliação do nível de consciência, como a escala de Glasgow, além de testes para a avaliação de atividade do tronco cerebral e o teste da apneia, que é obrigatório para tal diagnóstico. Dentre os testes gráficos, se fazem de extrema relevância o eletroencefalograma (EEG), a angiografia cerebral, a doppler fluxometria transcraniana de artérias cerebrais e a cintilografia, sendo o EEG considerado um método factível realizado à beira leito, de baixo custo e baixo risco ao paciente quando comparado à cintilografia e arteriografia. Para fins de diagnóstico no protocolo, o médico capacitado, com experiência, se responsabilizará pelo laudo final.Research, Society and Development2022-12-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3886510.33448/rsd-v11i16.38865Research, Society and Development; Vol. 11 No. 16; e598111638865Research, Society and Development; Vol. 11 Núm. 16; e598111638865Research, Society and Development; v. 11 n. 16; e5981116388652525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/38865/31988Copyright (c) 2022 Francisco Edes da Silva Pinheiro; Liliana Silva; João-Batista Destro-Filhohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPinheiro, Francisco Edes da SilvaSilva, LilianaDestro-Filho, João-Batista2022-12-18T18:26:42Zoai:ojs.pkp.sfu.ca:article/38865Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:52:23.174179Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura Brain death in the adult patient: an integrative literature review Muerte encefálica en el paciente adulto: una revisión integradora de la literatura |
title |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura |
spellingShingle |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura Pinheiro, Francisco Edes da Silva Muerte encefálica Electroencefalograma Diagnóstico. Brain death Electroencephalogram Diagnosis. Morte encefálica Eletroencefalograma Diagnóstico. |
title_short |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura |
title_full |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura |
title_fullStr |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura |
title_full_unstemmed |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura |
title_sort |
Morte encefálica no paciente adulto: uma revisão integrativa da literatura |
author |
Pinheiro, Francisco Edes da Silva |
author_facet |
Pinheiro, Francisco Edes da Silva Silva, Liliana Destro-Filho, João-Batista |
author_role |
author |
author2 |
Silva, Liliana Destro-Filho, João-Batista |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pinheiro, Francisco Edes da Silva Silva, Liliana Destro-Filho, João-Batista |
dc.subject.por.fl_str_mv |
Muerte encefálica Electroencefalograma Diagnóstico. Brain death Electroencephalogram Diagnosis. Morte encefálica Eletroencefalograma Diagnóstico. |
topic |
Muerte encefálica Electroencefalograma Diagnóstico. Brain death Electroencephalogram Diagnosis. Morte encefálica Eletroencefalograma Diagnóstico. |
description |
Brain death can be defined as the irreversible state of brain functions, considering the cerebral hemispheres as well as the brainstem. Two tests are required that can confirm the absence or cessation of brain stem activities for diagnosis of ED in Brazil. The search was used through survey and critical analysis of the documents published through the search platforms PubMed, Scielo and Lilacs. The following descriptors were used: "Brain death", "diagnosis", "adult" and "electroencephalogram", "Brain death AND electroencephalogram", "Brain death AND Noise AND electroencephalogram", "electroencephalograms AND Brain death" and "Brain death AND electroencephalogram AND intensivecareunits". The opening of the ED protocol should encompass all patients who present themselves as non-perceive, in absence of supra-spinal reactivity and in persistent apnea of known cause, irreversible and capable of causing such end, following a protocol of observation in a hospital environment. To start the protocol opening, it is necessary that there is a brain injury of known cause, irreversible and capable of causing ED, and absence of treatable factors that may confuse the diagnosis, treatment and observation in a hospital environment for the minimum period described, body temperature greater than 35° C, arterial oxygen saturation above 94% and systolic blood pressure greater than or equal to 100 mmHg. Measures are used to assess the level of consciousness, such as the Glasgow scale, as well as tests for the assessment of brain stem activity and the apnea test, which is mandatory for such diagnosis. Among the graphic tests, the electroencephalogram (EEG), cerebral angiography, Doppler Fluxometria transcraniana of cerebral arteries and scintigraphy are extremely relevant, being the EEG considered a feasible method performed at the bedside, low cost and low risk to the patient when compared to scintigraphy and arteriography. For diagnostic purposes in the protocol, the trained physician, with experience, will be responsible for the final report. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/38865 10.33448/rsd-v11i16.38865 |
url |
https://rsdjournal.org/index.php/rsd/article/view/38865 |
identifier_str_mv |
10.33448/rsd-v11i16.38865 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/38865/31988 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Francisco Edes da Silva Pinheiro; Liliana Silva; João-Batista Destro-Filho https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Francisco Edes da Silva Pinheiro; Liliana Silva; João-Batista Destro-Filho https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 16; e598111638865 Research, Society and Development; Vol. 11 Núm. 16; e598111638865 Research, Society and Development; v. 11 n. 16; e598111638865 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052731681144832 |