AVALIAÇÃO DOS CRITÉRIOS EXIGIDOS PARA A REALIZAÇÃO DO TERMO DE DECLARAÇÃO DE MORTE ENCEFÁLICA EM PACIENTES SUBMETIDOS AO DIAGNÓSTICO DE MORTE ENCEFÁLICA E CARACTERIZAÇÃO DO PERFIL DOS POTENCIAIS DOADORES EM UM HOSPITAL EM SÃO PAULO

Purpose: To identify the reliability of the criteria to start the brain death protocol, as stated by the Federal Council of Medicine (FCM) Resolution 1.480/97. To characterize the profiling of potential donors. Method: This is a retrospective study with a quantitative approach, performed in a large municipal hospital in the Southern region of the city of Sao Paulo. Medical records from patients with diagnostic of brain death along January 1 to June 30, 2013 were selected. The study was approved by the Ethics in Research committee CAAE 20387913.0.0000.5452. Results: 16 patients had the brain death diagnosis. The time between clinical trials ranged from 6 to 30 hours. No patient had Average Arterial Pressure <60 mmHg. The sedatives used in patients were: Fentanyl, Midazolam and Thiopental, and in every protocol the suspension time of those drugs for the opening were respected. In only one protocol the potential body temperature of the donor was <35oC, being in both clinical examination 34.5oC and 33.3oC, respectively. As to theaccomplishment of the apnea test, it was utilized the post-apnea arterial blood gas analysis in 13 cases in the first clinical examination, and 14 cases in the second examination; in the remaining cases, it was performed an observational assessment, meaning the direct observation of the chest as to the absence of respiratory movements. There was family consent in 11 cases, and 8 became effective donors. Conclusion: In every brain death protocol, the criteria required to open it followed the resolution No. 1.480/97of the Federal Council of Medicine.