Resumen
Introducción: los sentimientos mezclados impiden al médico identificar al potencial donante de órganos (PD), de ahí que, adquieren importancia las vivencias negativas ante la muerte y la noción de “no cosificación” del cuerpo. Objetivos: a) explorar vivencias de médicos intensivistas (MI) frente a la muerte y ante el diagnóstico de muerte encefálica (ME); y b) recopilar sus opiniones en torno a la utilización del cadáver. Diseño, ámbito y participantes: investigación cualitativa, prospectiva, descriptiva; con muestra intencional y saturada. Información recolectada vía entrevistas en profundidad. Participaron médicos de áreas críticas de un hospital de C.A.B.A. Resultados: la muerte significó: algo ajeno al médico, de percepción clínica, el cese de funciones cerebrales, de definición legal o práctica. La ME representó un momento de la muerte, de diagnóstico impreciso, determinado por métodos clínicos e instrumentales. Retirar el soporte vital bajo ME requiere el acuerdo familiar. El cadáver se dispone según la voluntad del fallecido, de la familia y del médico; puede usarse con respeto como material biológico. El cadáver debe donarse porque no es mercancía, aunque podría ser vendido por fines nobles; tiene valor per se, para la familia y para el sistema de salud. Verlo como bien útil no reportaría beneficios. Su manipulación no se vio como ensañamiento, y sí como ayuda para la familia. Conclusión: La muerte, aunque percibida antes de su diagnóstico, fue difícil de explicar y fue negada entre los participantes. El diagnóstico de ME no fue unánimemente considerado certero. La disposición del cadáver podría incluir su comercio.
Citas
<p class="Default" style="text-align: justify; line-height: 200%; text-indent: -36pt; margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo1; tab-stops: list 0cm;"><span style="color: windowtext; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Arial; font-size: small;">1.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="color: windowtext; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-size: small;"><span style="font-family: Arial;">Miranda B, Matesanz R. International issues in transplantation. Setting the scene and flagging the most urgent and controversial issues. 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Disponible en: </span><a href="http://www.incucai.gov.ar/docs/otros_documentos/programa_federal.pdf"><span style="color: #0000ff; font-size: small;">http://www.incucai.gov.ar/docs/otros_documentos/programa_federal.pdf</span></a><span style="font-size: small;"> </span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; text-indent: -36pt; margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo1; tab-stops: list 0cm;"><span style="font-family: Arial; mso-fareast-font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-size: small;">7.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US"><span style="font-size: small;">Cantarovich F. Educational proposals for promoting a culture of donating organs. A colloquium on the Congress “A Gift for Life”. Considerations on Organ Donation. 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Disponible en: </span><a href="http://www.incucai.gov.ar/docs/manuales/manual_mantenimiento_incucai_15_05_06.pdf"><span style="color: #0000ff; font-size: small;">http://www.incucai.gov.ar/docs/manuales/manual_mantenimiento_incucai_15_05_06.pdf</span></a><span style="font-size: small;"> </span></span></p><p class="MsoNormal" style="text-align: justify; line-height: 200%; text-indent: -36pt; margin: 0cm 0cm 0pt 36pt; mso-list: l0 level1 lfo1; tab-stops: list 0cm;"><span style="font-family: Arial; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;"><span style="font-size: small;">9.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-size: small;"><span style="font-family: Arial; mso-ansi-language: EN-US;" lang="EN-US">Bustos J, Previgliano I, Soratti C. 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