Portilla FVH, Salinas GMO, Bazán BAF

Language: Spanish
References: 5
Page: 93-96
PDF size: 46.87 Kb.

ABSTRACT

Introduction. In 1961, the American Society of Anesthesiologists (ASA) adopted a system of classification of the physical state in five categories, for their employment in the evaluation of the presurgical state of an individual. The presurgical evaluation consists on to gather information about the patient and to formulate an anesthetic plan and on the other hand, this evaluation is correlated with presurgical morbi-mortality, what allows to guide even more to the anesthesiologists thoroughly based on the study from the clinical history and the diagnosis of the patient’s general state. Objective. To analyze the ASA evaluation of the patients with terminal chronic renal disease of the Hospital Juárez de México, previous to the renal transplantation and to correlate it with the Index of Morbi-mortality managed by the American Society Anesthesiologists. Methodology. The present study is retrospective, transverse and observational. The files of the patients were revised previous to renal transplantation, in a period from September 1991 to December 2004 even from live donation or cadaveric source. We analyze the ASA classification and it was correlated with the Index of Morbi-mortality, obtaining frequencies and percentages after surgery. Results. We analyzed a total of 169 files, of those 103 (60.94%) corresponded to patients who received one kidney of live donor and 66 (39.05%) corresponded to transplanted patients of cadaveric source. The granted valuations were in the following way: 158 patients classified as ASA E III what corresponds to 93.49% of the total of patients and 11 qualified patients as ASA E II, corresponding to 6.50% of the total of patient. Conclusions. The biggest number of patient are classified in ASA E III (93.49%). The 11 patients with classification ASA E II (6.50%) correspond of those that doesn’t been arrived to any substitutive treatment and in which the diagnosis of terminal chronic renal disease was made quickly. We don’t register any deaths related to the transplantation surgery.

REFERENCES

1. Morgan E. Anestesiología Clínica. 3ra ed. Ed. El Manual Moderno. México. 2003: 8-9.

2. Duke J. Secretos de la Anestesia. 2da. ed. Ed. Mc Graw Hill. México. 2000: 85.

3. Danovitch GM. Trasplante Renal, 3ra ed. Ed. Marban. España. 2002: 130.

4. Kasiske BL, Ramos EL, Gastón RS, et al. The evaluation of renal transplant candidates: clinical practice guidelines. J Am Soc Neprhol 1995: 6:1.

5. Doyle SE, Matas AJ, et al. Predicting clinical outcome in the elderly renal transplant recipient. Kidney Int 2000; 57: 2144.