Hepatopulmonary syndrome: which blood gas analysis criteria and position should we use for diagnosis?
Rev. esp. enferm. dig
; 109(12): 843-849, dic. 2017. tab, graf, ilus
Artigo
em Inglês
| IBECS
| ID: ibc-169192
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Introduction:
Different blood gas criteria have been used in the diagnosis of hepatopulmonary syndrome (HPS). Patients andmethods:
Arterial blood gases were prospectively evaluated in 194 cirrhotic candidates for liver transplantation (LT) in the supine and seated position. Three blood gas criteria were analyzed classic (partial pressure of oxygen [PaO2] < 70 mmHg and/or alveolar-arterial gradient of oxygen [A-a PO2] ≥ 20 mmHg), modern (A-a PO2 ≥ 15 mmHg or ≥ 20 mmHg in patients over 64) and the A-a PO2 ≥ threshold value adjusted for age.Results:
The prevalence of HPS in the supine and seated position was 27.8% and 23.2% (classic), 34% and 25.3% (modern) and 22.2% and 19% (adjusted for age), respectively. The proportion of severe and very severe cases increased in a seated position (11/49 [22.4%] vs 5/66 [7.6%], p = 0.02). No difference was observed in the pre-LT, post-LT and overall mortality in patients with HPS, regardless of the criteria used.Conclusion:
Obtaining blood gas measurements in the supine position and the use of modern criteria are more sensitive for the diagnosis of HPS. Blood gas analysis with the patient seated detects a greater number of severe and very severe cases. The presence of HPS was not associated with an increase in mortality regardless of blood gas criterion used (AU)RESUMEN
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Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Gasometria
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Pneumopatia Veno-Oclusiva
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Transplante de Fígado
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Síndrome Hepatopulmonar
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Posicionamento do Paciente
Tipo de estudo:
Estudo diagnóstico
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Estudo de etiologia
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Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2017
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Nuestra Señora de Valme/Spain
/
Hospital Universitario Virgen del Rocío/Spain
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Hospital de Alta Resolución de Écija/Spain