Determinación de la frecuencia del funcionamiento del acceso vascular mediante la curva de contractilidad en pacientes hemodializados en el Hospital José Carrasco Arteaga, Cuenca-Ecuador, 2012

Abstract:

Antecedent: Vascular access is a common practice used among patients suffering from renal insufficiency. Its use has been established according to clear and scientifically proven evidence. However, unknown in our operating frequency of the different types of vascular access. Objective: To utilize the contractility curve in order to determine the frequency the performance of the vascular access. It’s functionality was assessed by measuring extracorporeal flow in patients undergoing hemodialysis. The analysis was performed at José Carrasco Arteaga Hospital in Cuenca city in 2013. Methodology Design: The is study characterized as descriptive. It was performed during the month from November 2012 to May 2013. The sample population consisted of 74 patients undergoing hemodialysis treatment at the José Carrasco Arteaga Hospital. Variables such as vascular access types, its locations, complications and measurement of extracorporeal flows in the arterial and venous lines were considered in the study. The data utilized was extracted from the observational registry and entered in the system for further analysis with SPSS and Excel programs. Results: The mean age was 56.80 years. The distribution was 50-50 ratio for both sexes. In 50% of the population the vascular access was a fistula. In this sample population, a total of 31,1 % of cases the main location of vascular access in the upper distal extremity. The Intradialytic extracorporeal flows to the 50th percentile were, DALP-60mmHg 126 ml/min; DALP -100mmHg 182 ml/min, DALP- 160mmHg 243ml/min; DALP-200mmHg 283 ml/min and DALP -260mmHg 328 ml/min. The arterio-venous catheters in comparison to the extracorporeal flows presented better extracorporeal flows. The operating frequency of complications of vascular access was 6.8% of total patients. Conclusion: The contractile curve in patients undergoing hemodialysis is an accurate method to determine the performance of vascular access. KEY WORDS: VASCULAR ACCESS, FISTULA, CATHETERS, CONTRACTILE CURVE

Año de publicación:

2014

Keywords:

• CATÉTER
• ACCESO VASCULAR
• insuficiencia renal
• Medicion De Flujo Extracorporeo
• Pacientes Homodializados
• FISTULA
• Curva De Contractilidad
• Hospital Jose Carrasco Arteag

Fuente:

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