Physiopathological changes of patients in encephalic death
International Journal of Development Research
Physiopathological changes of patients in encephalic death
Received 19th May, 2017; Received in revised form 18th June, 2017; Accepted 20th July, 2017; Published online 30th August, 2017
Copyright ©2017, Tamizia Cristino Severo de Souza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: To identify, through the medical records, the pathophysiological changes resulting from brain death and to assess nursing actions in the management of these changes. Methods: It is a descriptive, cross-sectional study with a quantitative approach. We analyzed 170 charts of patients evaluated for brain death. Descriptive statistical analysis was used, and frequency, average and standard deviation. Results: Traumatic brain injury was the cause of diagnosis for the most frequent brain death (45.3%). The hemodynamic and metabolic changes were highlighted, and also hypertension, tachycardia, hypothermia and acidosis, both metabolic and respiratory. The acid-base disorders were not present in 30% of the medical records. 60.59% of potential donors were normotensive (72.4%) and normothermic (64.1%). The infection was documented in 87 PD; totaling 51.2% of the sample, the respiratory pattern was 40%. Conclusions: The pathophysiological changes in the potential organ donor were high, since, according to the instrument used and collected data, a large part of the potential donors evolved with some dysfunction.
