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Revista dos anestesistas recomenda anestesia
geral nos doadores para que não sintam dor durante a retirada de seus órgãos. Se
estão mortos para que anestesia geral?
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De: Celso Galli Coimbra
Em maio de 2000, a Revistas dos Anestesistas do Royal College of Anaesthetists da Inglaterra recomendou em seu editorial a anestesia geral nos doadores de órgãos para eles não sentirem dor com a retirada de seus órgãos, devido à "abitrariedade dos critérios declaratórios de morte encefálica". Esta atitude foi determinada pelo fato de os anestesistas saberem que o paciente que tem seus órgãos retirados a partir dessa declaração reage dramaticamente a sensação de dor (" if a patient is not sedated during procedures to remove heart, lung, liver and pancreas, there is often an alarming and dramatic response from the body"). Se o paciente está morto, por que fazer anestesia geral nos doadores de órgãos?
A reportagem reproduzida a seguir, apresenta a conclusão do editorial da
revista médica:
" if a person was not dead, they should not be
baving their organs taken away." Se uma pessoa não está morta, não deveria
ter seus órgãos retirados.
Esse documento está juntado ao dossiê da CPI do
Tráfico de Órgãos e também em procedimento junto ao Ministério Público
Federal.
------------------------------------------------------------------ COULD THE CLINICALLY DEAD FEEL PAIN? Tuesday, 22 August 2000
Fears that brain-dead patients having their organs
removed for donation
could still feel pain have sparked calls for use of
anaesthetics.
The Guardian reports that British anaesthetists
are urging that
anaesthetics be used in all situations where
organs are being removed
from a patient. The call comes this week in an
editorial in Anaesthesia,
the joumal of the .
The writers, Basil Matta and Peter Young from
Addenbrooke's Hospital in Cambridge said; death is
not an event but a process, and our limited understanding of the process should demand caution before
assuming that anaesthesia is not
required.
Anaesthetists have long debated whether pain might be
experienced by someone who is clinically brain dead. It is common for patients from whose body organs are being
removed to still be connected to a resuscitator, and still have a beating
heart.
The concerns come from me fact that if a patient is not sedated during procedures to remove heart, lung, liver and pancreas, there is often an alarming and dramatic response from the body.
But the controversy deepened last year when British public watchdog, me intensive Care Society, published guidelines which stated that analgesia was not necessary in this situation. The Department of Heatth has agreed with this assessment.
Anaesthetists have observed that patient's pulse and blood pressure shoot up when the first cut is made. Theatre staff are often distressed when clinically dead patients move and wriggle about, to me point where it is impossible to operate.
The editorial claimed that studies showed there was some level of activity in brain cells, even when the brain stem (which connects the brain to me spine) was not active. However, the guidelines said that dead patients do not require analgesia or sedation. It added that dead people did not require anaesthesia, and if a person was not dead, they should not be baving their organs taken away.
Abbie Thomas- ABC Science Qnline ----------------------------------- Endereços da lista: Para entrar: [EMAIL PROTECTED] Para sair: [EMAIL PROTECTED] -----------------------------------
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