• Medicina intensiva · May 2020

    Capnometry levels as an indicator of renal graft evolution in uncontrolled non-heart beating donors.

    • A Mateos Rodríguez, D Varillas Delgado, A Villar Arias, C Rubio Chacón, and A Andrés Belmonte.
    • Oficina Regional de Coordinación de Trasplantes, Consejería de Sanidad, Comunidad de Madrid, España; Facultad de Ciencias de la Salud, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España; Grupo de Investigación en Donación y Trasplantes, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España. Electronic address: alonso.mateos@salud.madrid.org.
    • Med Intensiva. 2020 May 1; 44 (4): 233-238.

    ObjectiveThe capnometry values during resuscitation are an evolutive predictor of kidneys obtained from uncontrolled non-heart beating donors.DesignThe study comprised a retrospective onset cohort of 37 non-heart beating donors and a validation cohort of 55 trasplanted kidneys in the period 2013-2017.ScopeThe population served by the emergency service and referred to Hospital Universitario Doce de Octubre (Madrid, Spain) as potential uncontrolled non-heart beating donors.PatientsA total of 55 renal transplant patients subjected to hemodialysis and with grafts from uncontrolled non-heart beating donors.InterventionsCapnometry and capnography measurements in potential uncontrolled non-heart beating donors.VariablesCapnometry values recorded initially and at transfer in hospital for comparison with the viability of the extracted kidneys; renal failure and delayed renal function.ResultsA total of 55 out of 74 extracted kidneys were trasplanted (74.3%). The rest were ruled out due to poor perfusion or signs of ischemia. An association was observed (P=.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).ConclusionsCapnometry during resuscitation serves as a marker to be taken into account in relation to the viability of the trasplanted organs in uncontrolled non-heart beating donors.Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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