Ítem
Acceso Abierto

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

Mostrar el registro sencillo de la publicación
dc.contributor.advisorMolano Triviño, Alejandra Patricia
dc.contributor.advisorWjancer, Benjamín
dc.contributor.advisorPerez-Fernandez, Oscar-Mauricio
dc.creatorUcrós Lozano, Enrique Carlos
dc.creator.degreeEspecialista en Medicina Interna
dc.date.accessioned2016-03-07T22:26:07Z
dc.date.available2016-03-07T22:26:07Z
dc.date.created2016-02-01
dc.date.issued2016
dc.descriptionIntroducción. 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.spa
dc.description.abstractIntroduction. 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. A statistically significant positive correlation where there was no difference in outcome between the pulse oximetry arm and arm without FAV, so you can take the pulse oximetry in either arms found.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_11850
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/11850
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Medicina Internaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-CompartirIgual 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/2.5/co/
dc.source.bibliographicCitationYesid C, Lombo J, Correa I, Quintero N. Características clínicas y demográficas de los pacientes incidentes en diálisis crónica y su relación con el ingreso programado a diálisis. Acta Medica Colombiana [Internet]. 20013;138–42. Available from: http://www.redalyc.org/articulo.oa?id=163128381009
dc.source.bibliographicCitationNielsen AL, Jensen HA, Hegbrant J, Brinkenfeldt H, Thunedborg P. Oxygen status during haemodialysis. The Cord-Group. Acta Anaesthesiol Scand Suppl [Internet]. 1995;107:195–200. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8599277
dc.source.bibliographicCitationPedersen T, Dyrlund Pedersen B, Møller AM. Pulse oximetry for perioperative monitoring. Cochrane database Syst Rev [Internet]. 2003;(3):CD002013. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12917918
dc.source.bibliographicCitationMengelkoch LJ, Martin D, Lawler J. A review of the principles of pulse oximetry and accuracy of pulse oximeter estimates during exercise. Phys Ther [Internet]. 1994 Jan;74(1):40–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8265727
dc.source.bibliographicCitationAvitsian R, Abdelmalak B, Saad S, Xu M, O’Hara J. Upper extremity arteriovenous fistula does not affect pulse oximetry readings. Nephrology (Carlton) [Internet]. 2006 Oct;11(5):410–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17014554
dc.source.bibliographicCitationLin G, Kais H, Halpern Z, Chayen D, Weissgarten J, Negri M, et al. Pulse oxymetry evaluation of oxygen saturation in the upper extremity with an arteriovenous fistula before and during hemodialysis. Am J Kidney Dis [Internet]. 1997 Feb;29(2):230–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9016894
dc.source.bibliographicCitationKober A, Scheck T, Lieba F, Barker R, Vlach W, Schramm W, et al. The influence of active warming on signal quality of pulse oximetry in prehospital trauma care. Anesth Analg [Internet]. 2002 Oct;95(4):961–6, table of contents. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12351277
dc.source.bibliographicCitationReich DL, Timcenko A, Bodian CA, Kraidin J, Hofman J, DePerio M, et al. Predictors of pulse oximetry data failure. Anesthesiology [Internet]. 1996 36 Apr;84(4):859–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8638840
dc.source.bibliographicCitationKurki TS, Smith NT, Sanford TJ, Head N. Pulse oximetry and finger blood pressure measurement during open-heart surgery. J Clin Monit [Internet]. 1989 Oct;5(4):221– 8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2809666
dc.source.bibliographicCitationMartínez-Castelao A, Gorriz JL, Bover J, Segura-de la Morena J, Cebollada J, Escalada J, et al. Documento de consenso para la deteccion y manejo de la enfermedad renal crónica. Aten Primaria [Internet]. 2014;46(9):501–19. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24658201
dc.source.bibliographicCitationGilmore J. KDOQI clinical practice guidelines and clinical practice recommendations--2006 updates. Nephrol Nurs J [Internet]. 33(5):487–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17044433
dc.source.bibliographicCitationLevey AS, Coresh J. Chronic kidney disease. Lancet (London, England) [Internet]. 2012 Jan 14;379(9811):165–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21840587
dc.source.bibliographicCitationAndrassy KM. Comments on “KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease”. Kidney Int [Internet]. 2013 Sep;84(3):622–3. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23989362
dc.source.bibliographicCitationHouse AA, Ronco C. The burden of cardiovascular risk in chronic kidney disease and dialysis patients (cardiorenal syndrome type 4). Contrib Nephrol [Internet]. 2011;171:50–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21625089
dc.source.bibliographicCitationKeith DS, Nichols GA, Gullion CM, Brown JB, Smith DH. Longitudinal follow-up and outcomes among a population with chronic kidney disease in a large managed care organization. Arch Intern Med [Internet]. 2004 Mar 22;164(6):659–63. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15037495
dc.source.bibliographicCitationFrankel A. Temporary access and central venous catheters. Eur J Vasc Endovasc Surg [Internet]. 2006 Apr;31(4):417–22. Available from: 37 http://www.ncbi.nlm.nih.gov/pubmed/16360326
dc.source.bibliographicCitationAmorim P, Sousa G, Vieira J, Sousa L, Ribeiro K, Sobrinho G, et al. [Complications of vascular access for hemodialysis - limits, imagination and commitment]. Rev Port Cir cardio-torácica e Vasc órgão Of da Soc Port Cir Cardio-Torácica e Vasc [Internet]. 20(4):211–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25202756
dc.source.bibliographicCitationYerdel MA, Kesenci M, Yazicioglu KM, Döşeyen Z, Türkçapar AG, Anadol E. Effect of haemodynamic variables on surgically created arteriovenous fistula flow. Nephrol Dial Transplant [Internet]. 1997 Aug;12(8):1684–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9269649
dc.source.bibliographicCitationRobbin ML, Chamberlain NE, Lockhart ME, Gallichio MH, Young CJ, Deierhoi MH, et al. Hemodialysis arteriovenous fistula maturity: US evaluation. Radiology [Internet]. 2002 Oct;225(1):59–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12354984
dc.source.bibliographicCitationBashar K, Healy D, Browne LD, Kheirelseid EAH, Walsh MT, Clarke-Moloney M, et al. Role of far infra-red therapy in dialysis arterio-venous fistula maturation and survival: systematic review and meta-analysis. PLoS One [Internet]. 2014;9(8):e104931. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25115802
dc.source.bibliographicCitationSantoro A, Canova C, Freyrie A, Mancini E. Vascular access for hemodialysis. J Nephrol [Internet]. 19(3):259–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16874684
dc.source.bibliographicCitationAllon M, Robbin ML. Increasing arteriovenous fistulas in hemodialysis patients: problems and solutions. Kidney Int [Internet]. 2002 Oct;62(4):1109–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12234281
dc.source.bibliographicCitationLok CE, Oliver MJ, Su J, Bhola C, Hannigan N, Jassal S V. Arteriovenous fistula outcomes in the era of the elderly dialysis population. Kidney Int [Internet]. 2005 Jun;67(6):2462–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15882293
dc.source.bibliographicCitationRayner HC, Pisoni RL, Gillespie BW, Goodkin DA, Akiba T, Akizawa T, et al. Creation, cannulation and survival of arteriovenous fistulae: data from the Dialysis Outcomes and Practice Patterns Study. Kidney Int [Internet]. 2003 Jan;63(1):323– 30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12472799
dc.source.bibliographicCitationRayner HC, Besarab A, Brown WW, Disney A, Saito A, Pisoni RL. Vascular access results from the Dialysis Outcomes and Practice Patterns Study (DOPPS): performance against Kidney Disease Outcomes Quality Initiative (K/DOQI) Clinical Practice Guidelines. Am J Kidney Dis [Internet]. 2004 Nov;44(5 Suppl 2):22–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15486870
dc.source.bibliographicCitationPisoni RL, Young EW, Dykstra DM, Greenwood RN, Hecking E, Gillespie B, et al. Vascular access use in Europe and the United States: results from the DOPPS. Kidney Int [Internet]. 2002 Jan;61(1):305–16. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11786113
dc.source.bibliographicCitationAllon M, Lockhart ME, Lilly RZ, Gallichio MH, Young CJ, Barker J, et al. Effect of preoperative sonographic mapping on vascular access outcomes in hemodialysis patients. Kidney Int [Internet]. 2001 Nov;60(5):2013–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11703621
dc.source.bibliographicCitationOliver MJ, McCann RL, Indridason OS, Butterly DW, Schwab SJ. Comparison of transposed brachiobasilic fistulas to upper arm grafts and brachiocephalic fistulas. Kidney Int [Internet]. 2001 Oct;60(4):1532–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11576369
dc.source.bibliographicCitationAllon M. Current management of vascular access. Clin J Am Soc Nephrol [Internet]. 2007 Jul;2(4):786–800. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17699495
dc.source.bibliographicCitationPolkinghorne KR, McDonald SP, Atkins RC, Kerr PG. Vascular access and all-cause mortality: a propensity score analysis. J Am Soc Nephrol [Internet]. 2004 Feb;15(2):477–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14747396
dc.source.bibliographicCitationEnd Stage Renal Disease Network Organization Program 2012 Summary Annual 39 Report [Internet]. Baltimore,: Centers for Medicare & Medicaid Services; 2014. Available from: http://esrdncc.org/wpcontent/ uploads/2014/10/SAR2012_FINAL_10_07_14.pdf
dc.source.bibliographicCitationUSRDS 2010 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases [Internet]. Bethesda: U.S. Renal Data System; 2010. Available from: http://www.usrds.org/adr.aspx
dc.source.bibliographicCitationUSRDS 2012 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases [Internet]. Bethesda: U.S. Renal Data System,; 2012. Available from: http://www.usrds.org/atlas12.aspx
dc.source.bibliographicCitationConte MS, Nugent HM, Gaccione P, Roy-Chaudhury P, Lawson JH. Influence of diabetes and perivascular allogeneic endothelial cell implants on arteriovenous fistula remodeling. J Vasc Surg [Internet]. 2011 Nov;54(5):1383–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21840154
dc.source.bibliographicCitationSalmela B, Hartman J, Peltonen S, Albäck A, Lassila R. Thrombophilia and arteriovenous fistula survival in ESRD. Clin J Am Soc Nephrol [Internet]. 2013 Jun;8(6):962–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23411429
dc.source.bibliographicCitationPeterson WJ, Barker J, Allon M. Disparities in fistula maturation persist despite preoperative vascular mapping. Clin J Am Soc Nephrol [Internet]. 2008 Mar;3(2):437–41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18235150
dc.source.bibliographicCitationRodriguez JA, Armadans L, Ferrer E, Olmos A, Codina S, Bartolomé J, et al. The function of permanent vascular access. Nephrol Dial Transplant [Internet]. 2000 Mar;15(3):402–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10692528
dc.source.bibliographicCitationLee T, Ullah A, Allon M, Succop P, El-Khatib M, Munda R, et al. Decreased cumulative access survival in arteriovenous fistulas requiring interventions to promote maturation. Clin J Am Soc Nephrol [Internet]. 2011 Mar;6(3):575–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21088288
dc.source.bibliographicCitationAllon M, Litovsky S, Young CJ, Deierhoi MH, Goodman J, Hanaway M, et al. Medial fibrosis, vascular calcification, intimal hyperplasia, and arteriovenous fistula maturation. Am J Kidney Dis [Internet]. 2011 Sep;58(3):437–43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21719173
dc.source.bibliographicCitationKhavanin Zadeh M, Gholipour F, Naderpour Z, Porfakharan M. Relationship between Vessel Diameter and Time to Maturation of Arteriovenous Fistula for Hemodialysis Access. Int J Nephrol [Internet]. 2012;2012:942950. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22187645
dc.source.bibliographicCitationKhavanin Zadeh M, Gholipour F, Hadipour R. The effect of hemoglobin level on arteriovenous fistula survival in Iranian hemodialysis patients. J Vasc Access [Internet]. 9(2):133–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18609530
dc.source.bibliographicCitationYilmaz H, Bozkurt A, Cakmak M, Celik HT, Bilgic MA, Bavbek N, et al. Relationship between late arteriovenous fistula (AVF) stenosis and neutrophillymphocyte ratio (NLR) in chronic hemodialysis patients. Ren Fail [Internet]. 2014 Oct;36(9):1390–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25246339
dc.source.bibliographicCitationAcuña Merchán L, Soler Vanoy LA. Situación de la Enfermedad Renal Crónica en Colombia 2013 [Internet]. Bogotá: Cuenta de Alto Costo; 2013. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/INEC/CAC/SIT UACION_DE_LA_ENFERMEDAD_RENAL_CRONICA_2013.pdf
dc.source.bibliographicCitationJubran. Pulse oximetry. Crit Care [Internet]. 1999;3(2):R11–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11094477
dc.source.bibliographicCitationWukitsch MW, Petterson MT, Tobler DR, Pologe JA. Pulse oximetry: analysis of theory, technology, and practice. J Clin Monit [Internet]. 1988 Oct;4(4):290–301. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3057122
dc.source.bibliographicCitationWouters PF, Gehring H, Meyfroidt G, Ponz L, Gil-Rodriguez J, Hornberger C, et al. Accuracy of pulse oximeters: the European multi-center trial. Anesth Analg [Internet]. 2002 Jan;94(1 Suppl):S13–6. Available from: 41 http://www.ncbi.nlm.nih.gov/pubmed/11900030
dc.source.bibliographicCitationVan de Louw A, Cracco C, Cerf C, Harf A, Duvaldestin P, Lemaire F, et al. Accuracy of pulse oximetry in the intensive care unit. Intensive Care Med [Internet]. 2001 Oct;27(10):1606–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17999668
dc.source.bibliographicCitationPulse oximeters. Health Devices [Internet]. 1989 Jun;18(6):185–99, 206–19, 222–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2485835
dc.source.bibliographicCitationClayton DG, Webb RK, Ralston AC, Duthie D, Runciman WB. Pulse oximeter probes. A comparison between finger, nose, ear and forehead probes under conditions of poor perfusion. Anaesthesia [Internet]. 1991 Apr;46(4):260–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2024741
dc.source.bibliographicCitationBranson RD, Mannheimer PD. Forehead oximetry in critically ill patients: the case for a new monitoring site. Respir Care Clin N Am [Internet]. 2004 Sep;10(3):359– 67, vi – vii. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15458733
dc.source.bibliographicCitationFernandez M, Burns K, Calhoun B, George S, Martin B, Weaver C. Evaluation of a new pulse oximeter sensor. Am J Crit Care [Internet]. 2007 Mar;16(2):146–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17322015
dc.source.bibliographicCitationSchallom L, Sona C, McSweeney M, Mazuski J. Comparison of forehead and digit oximetry in surgical/trauma patients at risk for decreased peripheral perfusion. Heart Lung [Internet]. 36(3):188–94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17509425
dc.source.bibliographicCitationRalston AC, Webb RK, Runciman WB. Potential errors in pulse oximetry. I. Pulse oximeter evaluation. Anaesthesia [Internet]. 1991 Mar;46(3):202–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2014898
dc.source.bibliographicCitationJubran A, Tobin MJ. Reliability of pulse oximetry in titrating supplemental oxygen therapy in ventilator-dependent patients. Chest [Internet]. 1990 Jun;97(6):1420–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2347228
dc.source.bibliographicCitationSaito S, Fukura H, Shimada H, Fujita T. Prolonged interference of blue dye “patent blue” with pulse oximetry readings. Acta Anaesthesiol Scand [Internet]. 1995 Feb;39(2):268–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7793197
dc.source.bibliographicCitationComber JT, Lopez BL. Evaluation of pulse oximetry in sickle cell anemia patients presenting to the emergency department in acute vasoocclusive crisis. Am J Emerg Med [Internet]. 1996 Jan;14(1):16–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8630147
dc.source.bibliographicCitationCoté CJ, Goldstein EA, Fuchsman WH, Hoaglin DC. The effect of nail polish on pulse oximetry. Anesth Analg [Internet]. 1988 Jul;67(7):683–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3382042
dc.source.bibliographicCitationRheineck-Leyssius AT, Kalkman CJ. Influence of pulse oximeter lower alarm limit on the incidence of hypoxaemia in the recovery room. Br J Anaesth [Internet]. 1997 Oct;79(4):460–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9389263
dc.source.bibliographicCitationLe Bourdellès G, Estagnasié P, Lenoir F, Brun P, Dreyfuss D. Use of a pulse oximeter in an adult emergency department: impact on the number of arterial blood gas analyses ordered. Chest [Internet]. 1998 Apr;113(4):1042–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9554645
dc.source.bibliographicCitationSolsona JF, Marrugat J, Vázquez A, Masdeu G, Alvárez F, Nolla J. Effect of pulse oximetry on clinical practice in the intensive care unit. Lancet (London, England) [Internet]. 1993 Jul 31;342(8866):311–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8101343
dc.source.bibliographicCitationJubran A. Pulse oximetry. Crit Care [Internet]. 2015;19:272. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26179876
dc.source.bibliographicCitationNo Title [Internet]. Available from: http://urgenciaspediatria.hospitalcruces.com/doc/generales/proto/Cap4.6_pulsioxime tria.pdf
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectfístula arteriovenosaspa
dc.subjectpulsioximetríaspa
dc.subjecthemodiálisisspa
dc.subject.ddcEnfermedades
dc.subject.decsMedicina internaspa
dc.subject.decsDiálisis renalspa
dc.subject.decsPruebas de función renalspa
dc.subject.keywordarteriovenous fistulaeng
dc.subject.keywordpulse oximetryeng
dc.subject.keywordhemodialysiseng
dc.subject.lembMedicina internaspa
dc.titlePulsioximetría de pacientes en hemodiálisis, de la unidad de terapia renal – fundación cardioinfantil, análisis para establecer recomendacionesspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
Archivos
Bloque original
Mostrando1 - 1 de 1
Miniatura
Nombre:
UcrosLozano-EnriqueCarlos-2016.pdf
Tamaño:
1.35 MB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Colecciones
Especialización en Medicina Interna