We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Comparación de dos halogenados en pacientes sometidos a trasplante renal.
- Authors
Fernández-García, Jorge Octavio; Hernández-Caballero, Karina; Vásquez-Márquez, Petra Isidora; Villegas-Anzo, Fernando; Zarazúa-Juárez, Marisol; Antonio, Antonio
- Abstract
Introduction: Renal transplantation is a high-risk procedure, so intergal cardiac monitoring is essential. Objective: To compare cardiac output (CO), cardiac index (CI), serum levels of brain natriuretic peptide (BNP), central venous pressure (CVP) and urinary volumes with the use of two inhaled anesthetic agents in the context of renal transplantation. Material and methods: A controlled clinical trial was conducted; 42 patients undergoing kidney transplantation were studied. Two groups of 21 patients were formed each: group I received isofl urane and group D received desfl urane. Results: The groups were similar in their general characteristics. Compared to BNP, the difference in T3 was 274.10 pg/mL ± 152.95 vs. 371.57 pg/mL ± 146.64 (p=0.041) and T5 250.48 pg/mL ± 218.58 vs. 378.67 pg/mL ± 129.39 (p= 0.026) for group I and group D respectively. The following differences were observed in relation to CO and CI: CO in T3 8.47 ± 2.86 L/min vs. 11.43 ± 3.13 L/min (p = 0.003), CI in T3 5.24 ± 1.70 L/min/m2 vs. 6.86 ± 1.85 L/min/m2 (p=0.005) for group I and group D respectively. In relation to CVP, there were differences in T2 14.43 ± 5.10 cmH2O vs. 18.52 ± 3.40 2O (p= 0.004), in T3 12.67 ± 4.46 cmH2O vs. 18.29 ± 4.55 2O (p=0.000), in T4 11.43 ± 3.62 2O vs. 15.71 ± 5.11 cmH2O (p= 0.003) and in T5 10.67 ± 4.93 2O vs. 15.52 ± 5.65 cmH2O (p=0.005) for group I and group D respectively. Urinary rates had the following differences: 5.91 ± 2.28 mL/kg/h vs. 3.01 ± 2.33 mL/kg/h (p=0.000) for group I and group D respectively. Conclusion: BNP levels and hemodynamic variations were lower with isofl urane use. Urinary rates were higher with isofl urane use.
- Publication
Revista Mexicana de Anestesiología, 2017, Vol 40, Issue 2, p79
- ISSN
0484-7903
- Publication type
Article