Capnometry levels as an indicator of renal graft evolution in uncontrolled non-heart beating donors
| Autor: | D. Varillas Delgado, A.A. Mateos Rodríguez, A. Villar Arias, A. Andrés Belmonte, C. Rubio Chacón |
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| Rok vydání: | 2020 |
| Předmět: |
Capnography
Resuscitation education.field_of_study medicine.diagnostic_test business.industry medicine.medical_treatment Population Renal function 030208 emergency & critical care medicine medicine.disease Transplantation 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Anesthesia medicine Hemodialysis Asystole business education Kidney transplantation |
| Zdroj: | Medicina Intensiva (English Edition). 44:233-238 |
| ISSN: | 2173-5727 |
| DOI: | 10.1016/j.medine.2018.10.011 |
| Popis: | Objective The capnometry values during resuscitation are an evolutive predictor of kidneys obtained from uncontrolled non-heart beating donors. Design The study comprised a retrospective onset cohort of 37 non-heart beating donors and a validation cohort of 55 transplanted kidneys in the period 2013–2017. Scope The population served by the emergency service and referred to Hospital Universitario Doce de Octubre (Madrid, Spain) as potential uncontrolled non-heart beating donors. Patients A total of 55 renal transplant patients subjected to hemodialysis and with grafts from uncontrolled non-heart beating donors. Interventions Capnometry and capnography measurements in potential uncontrolled non-heart beating donors. Variables Capnometry values recorded initially and at transfer in hospital for comparison with the viability of the extracted kidneys; renal failure and delayed renal function. Results A total of 55 out of 74 extracted kidneys were transplanted (74.3%). The rest were ruled out due to poor perfusion or signs of ischemia. An association was observed (p = 0.016) between the capnometry values during resuscitation in the grafted kidneys (µ = 22.8 mmHg) and in the kidneys discarded for transplantation (µ = 17.35 mmHg). Conclusions Capnometry during resuscitation serves as a marker to be taken into account in relation to the viability of the transplanted organs in uncontrolled non-heart beating donors. |
| Databáze: | OpenAIRE |
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