The player Pedro Henrique Severino, 19, of Red Bull Bragantino, left the Intensive Care Unit (ICU) From the Unimed Ribeirão Preto Hospital on Monday (24), days after the doctors started the brain death protocol.
The medical report released by the health unit reported that the athlete’s clinical condition is stable and, at the moment, there is no need to use mechanical ventilation. He breathes without the help of appliances.
To explain how Pedro Henrique’s health condition evolved, the CNN Heard three neurologists. Check out the explanations below:
There was no decreed brain death
In an interview with CNN neurosurgeon Guilherme Lepski, from the Hospital das Clínicas and Neurosurgery Institute of São Paulo, explained that the case is not uncommon because of the protocols adopted to declare brain death. The medical team needs to respect a number of procedures to ensure that there is no even brain activity before decreeing the four.
“It is wrong to say that the brain death has been declared and then reversed. This is a serious misinformation that can lead the population to interpret that brain death is a reversible thing, not absolutely the case,” says Lepski. “In his case there was no diagnosis of brain death. The clinical test was interrupted because he coughed.”
“This means that its brain trunk was working. In this case the diagnosis is not brain death, it is not a reversible picture. The clinical measure is taken in cases of this is life support, which must be being done by the careful team,” he explained.
Neurologist William Rezende explains that the brain trunk is precisely the portion of the coughing brain, a symptom presented by the Bragantino player who caused the medical team to interrupt the cerebral dead protocol.
“It may be that he had a very swollen brain and this has suspended blood nutrition to the brain. When you do the exam in the main arteries, it shows that the blood is not passing inside the brain and the cerebral cortex is not in electrical activity either. But sometimes by other thinner branches, other collateral branches, the blood continues to reach the brainstem,” Rezende said.
Other factors may leave the patient arpontly
Extensive brain death assessment tests are not only crucial to understanding the condition, but they should also be performed only after the discard of any other possibilities that leave the patient airplay. This is what Sandro Matas explains, a neurologist at the São Camilo de São Paulo hospitals network.
According to the doctor, factors such as the action of central nervous system drugs, hypothermia or a severe metabolic disorder (renal and liver scorers, hormonal disorders, electrolytic disorders, glycemic disorders, etc.) can lead to this scenario.
“Therefore, the evaluation of brain death is complex and requires a qualified doctor for this,” he concludes.
Remember the case
Pedro Severino and his team colleague, Pedro Castro, 18, returned from the time off to introduce themselves to Bragantino When the car they were collided with a trailer. The vehicle was driven by a private driver.
Severino arrived at Dr. Waldemar Tebaldi Municipal Hospital in critical state, unconscious and with severe a cranial. On March 5, the health unit even started the brain death protocol, but interrupted after the player presented a cough reflection.
See also: Player has interrupted brain death protocol
Researchers reveal what science knows about the functioning of the brain
Was this content originally published upward after brain death possible? Understand the case of the Bragantino player on the CNN Brazil website.
Source: CNN Brasil
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