Indicação de cuidados paliativos neonatais: necessidade de uma diretriz?

período 01/08/2016 31/03/2018 avaliar quantos pacientes teriam indicação de cuidados paliativos, analisando terapêutica implantada. Métodos: Realizou-se retrospectivo, analisando prontuários dos pacientes para coleta de dados e análise estatística descritiva. Resultados: No período de estudo avaliados 262 prontuários de pacientes que internaram na unidade de terapia intensiva neonatal. Destes, 196 evoluíram bem, sem agravos e sequelas, sem nenhuma Abstract Objective: To describe the profile of newborns hospitalized in a neonatal intensive care unit of a tertiary university maternity unit from August 01, 2016 to March 31, 2018 and to evaluate how many would be included in palliative care, analyzing the implanted therapy. Methods: A retrospective study was performed, analyzing patients’ charts for data collection and descriptive statistical analysis. Results: In the study period, 262 medical records of patients admitted to the neonatal intensive care unit were studied. Of these, 196 had a good evolution, without complications and sequelae, without limiting pathologies, being excluded from the indication of palliative care. Forty-two died and 24 had diagnostic hypothesis of some life-limiting disease, but which evolved steadily and were discharged from the unit. For those who died even in the process of death, with a continuous infusion pump of resuscitation drugs, they underwent resuscitation maneuvers. None of the newborns studied was accompanied by the palliative care team because of the non-solicitation of neonatologists for the specialty. Conclusions: In this study, we observed a population with indication of palliative care that did not receive this care, due to lack of request of the team, either in the finitude group to qualify the death and grieving process, or those who were discharged from the unit with limitations of life. After analyzing these data, a guideline flowchart with criteria for eligibility for palliative care was done, aiming to assist in the decision and activation of the team.