Capnometry levels as an indicator of renal graft evolution in uncontrolled non-heart beating donors. 2020

A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and 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.

OBJECTIVE The capnometry values during resuscitation are an evolutive predictor of kidneys obtained from uncontrolled non-heart beating donors. METHODS The 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. METHODS The population served by the emergency service and referred to Hospital Universitario Doce de Octubre (Madrid, Spain) as potential uncontrolled non-heart beating donors. METHODS A total of 55 renal transplant patients subjected to hemodialysis and with grafts from uncontrolled non-heart beating donors. METHODS Capnometry and capnography measurements in potential uncontrolled non-heart beating donors. METHODS Capnometry values recorded initially and at transfer in hospital for comparison with the viability of the extracted kidneys; renal failure and delayed renal function. RESULTS A 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). CONCLUSIONS Capnometry 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.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D013030 Spain Country located between France on the northeast and Portugal on the west and bordered by the Atlantic Ocean and the Mediterranean Sea. The capital is Madrid. Balearic Islands,Canary Islands
D014019 Tissue Donors Individuals supplying living tissue, organs, cells, blood or blood components for transfer or transplantation to histocompatible recipients. Organ Donors,Donors,Ovum Donors,Semen Donors,Transplant Donors,Donor,Donor, Organ,Donor, Ovum,Donor, Semen,Donor, Tissue,Donor, Transplant,Donors, Organ,Donors, Ovum,Donors, Semen,Donors, Tissue,Donors, Transplant,Organ Donor,Ovum Donor,Semen Donor,Tissue Donor,Transplant Donor
D016030 Kidney Transplantation The transference of a kidney from one human or animal to another. Grafting, Kidney,Renal Transplantation,Transplantation, Kidney,Transplantation, Renal,Kidney Grafting,Kidney Transplantations,Renal Transplantations,Transplantations, Kidney,Transplantations, Renal
D019296 Capnography Continuous recording of the carbon dioxide content of expired air. Capnographies

Related Publications

A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
January 2001, Transplantation proceedings,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
December 2006, Transplantation proceedings,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
January 2005, Revista espanola de medicina nuclear,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
August 2023, Resuscitation,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
April 2012, The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
November 2000, Transplantation proceedings,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
February 2003, Transplantation proceedings,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
June 1996, The British journal of surgery,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
February 1996, The British journal of surgery,
A Mateos Rodríguez, and D Varillas Delgado, and A Villar Arias, and C Rubio Chacón, and A Andrés Belmonte
February 1994, BMJ (Clinical research ed.),
Copied contents to your clipboard!