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

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 afect...

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Autor Principal: Ucrós Lozano, Enrique Carlos
Otros Autores: Molano Triviño, Alejandra Patricia
Formato: Tesis de maestría (Master Thesis)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2016
Materias:
Acceso en línea:http://repository.urosario.edu.co/handle/10336/11850
id ir-10336-11850
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic fístula arteriovenosa
pulsioximetría
hemodiálisis
Enfermedades
Medicina interna
arteriovenous fistula
pulse oximetry
hemodialysis
Medicina interna
Diálisis renal
Pruebas de función renal
spellingShingle fístula arteriovenosa
pulsioximetría
hemodiálisis
Enfermedades
Medicina interna
arteriovenous fistula
pulse oximetry
hemodialysis
Medicina interna
Diálisis renal
Pruebas de función renal
Ucrós Lozano, Enrique Carlos
Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
description 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.
author2 Molano Triviño, Alejandra Patricia
author_facet Molano Triviño, Alejandra Patricia
Ucrós Lozano, Enrique Carlos
format Tesis de maestría (Master Thesis)
author Ucrós Lozano, Enrique Carlos
author_sort Ucrós Lozano, Enrique Carlos
title Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
title_short Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
title_full Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
title_fullStr Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
title_full_unstemmed Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
title_sort pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones
publisher Universidad del Rosario
publishDate 2016
url http://repository.urosario.edu.co/handle/10336/11850
_version_ 1694382407300415488
spelling ir-10336-118502021-03-01T19:22:51Z Pulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendaciones Ucrós Lozano, Enrique Carlos Molano Triviño, Alejandra Patricia Wjancer, Benjamín Perez-Fernandez, Oscar-Mauricio fístula arteriovenosa pulsioximetría hemodiálisis Enfermedades Medicina interna arteriovenous fistula pulse oximetry hemodialysis Medicina interna Diálisis renal Pruebas de función renal 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 <0.05 - the median or average of the deltas of the differences in each of the arms with T Student test statistics were compared. Results. Of a total of 40 patients, no statistically significant differences were found when comparing the median saturation between the arm fistula and arm without fistula, before, during and after dialysis, however if a statistically significant positive correlation was observed. Conclusions. 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