Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones

Autor: Ucrós Lozano, Enrique Carlos
Přispěvatelé: Molano Triviño, Alejandra Patricia, Wjancer, Benjamín, Perez-Fernandez, Oscar-Mauricio
Jazyk: Spanish; Castilian
Rok vydání: 2016
Předmět:
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No Title [Internet]. Available from: http://urgenciaspediatria.hospitalcruces.com/doc/generales/proto/Cap4.6_pulsioxime tria.pdf
Repositorio EdocUR-U. Rosario
Universidad del Rosario
instacron:Universidad del Rosario
DOI: 10.48713/10336_11850
Popis: Introducción. En Colombia, el 80% de los pacientes con enfermedad renal crónica en hemodiálisis tienen fístula arteriovenosa periférica (FAV) que asegura el flujo de sangre durante la hemodiálisis (1), la variabilidad en el flujo de sangre en el brazo de la FAV hacia la parte distal, puede afectar la lectura de la oximetría de pulso (SpO2) (2), llevando a la toma de decisiones equivocadas por el personal de salud. El objetivo de este estudio es aclarar si existe diferencia entre la SpO2 del brazo de la FAV y el brazo contralateral. Materiales y métodos. Se realizó un estudio de correlación entre los valores de SpO2 del brazo con FAV contra el brazo sin FAV, de 40 pacientes que asistieron a hemodiálisis. La recolección de los datos se llevó a cabo, con un formato que incluyó el resultado de la pulsioximetria y variables asociadas, antes, durante y después de la hemodiálisis. Se comparó la mediana de los deltas de las diferencias con pruebas estadísticas T Student – Mann Whitney, aceptando un valor significativo de p < 0,05. Resultados. No se encontraron diferencias estadísticamente significativas de la SpO2 entre el brazo con FAV y el brazo sin FAV, antes, durante y después de la diálisis, sin embargo si se apreció una correlación positiva estadísticamente significativa. Conclusiones. Se encontró correlación positiva estadísticamente significativa, donde no hubo diferencias en el resultado la pulsioximetría entre el brazo con FAV y brazo sin FAV, por lo tanto es válido tomar la pulsioximetría en cualquiera de los brazos. Introduction. A lot of patients with chronic renal failure on hemodialysis have a peripheral arteriovenous fistula (AVF) to ensure proper blood flow during hemodialysis, a variability in blood flow in the arm to the distal AVF branch ipsilateral, can affect reading pulse oximetry (SpO2) (1), therefore making it unnecessarily change the site of the shot, or make poor health personnel attending patients such decisions. That is why the main objective is to clarify whether there is variation and / or SpO2 difference between the arm and the contralateral arm AVF without FAV. Materials and methods. A correlation study of patients with FAV, functional attending hemodialysis was performed. Data collection was performed using a predesigned format that included the result of pulse oximetry and associated variables before, during and after hemodialysis. Mann Whitney, accepting significant a value of p
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