O Indivíduo em situação de morte encefálica: importância do cuidado de enfermagem para manutenção do potencial doador de órgãos

Abstract

This study aimed to identify the necessary precautions in the literature on the individual situation of brain death in order to preserve it as a potential organ donor. Methods: This is a secondary study, with theoretical design of an integrative review. Resumed to the literature in order to investigate the knowledge produced by constructing a survey to describe the extent and characteristics, based on scientific evidence, the necessary care to individual in the process of seeking ME maintenance of organs for transplants. The sample consisted of 07 articles indexed in a database specific (LILACS, MEDLINE). Results: The discrepancy between the number of patients waiting for transplantation and organ availability has generated great level of agreement among authors regarding the importance of care aimed at keeping the bodies in order to increase the availability of organs for transplantation and the number of organs donated by donor. Drug treatment varied in a narrow range of recommendations, but in all the texts the focus was mainly hemodynamic, and consensus among the authors the benefits from volume replacement and inotropes, and vasopressors for the treatment of persistent hypotension and Diabetes insipidus. Nursing care, despite having been specifically mentioned in some articles have been dealt with general maintenance of the stability of the patient must deal with the nursing staff conduct strict monitoring of hemodynamic, respiratory, thermal and electrolytic. Conclusion: Like any other patient in critical condition in the individual brain death depends on care and maintenance of the viability of their organs can be maximized if they exist conduct appropriate treatment.