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it is therefore of interest to establish scientifically tested indicators that are effective in selecting possible donors&#46; Capnography could be one of these indicators&#44; and although this field has not been extensively developed to date&#44; a number of studies have suggested that capnography may be a method to be taken into account&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In view of the above&#44; the present study was designed to assess capnography as a predictor of the viability of renal grafts in NHBD&#44; exploring the relationship between application of the technique during the donor management process in the emergency care setting and the condition of the possible renal grafts obtained&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Patients and methods</span><p id="par0025" class="elsevierStylePara elsevierViewall">A retrospective study was made of the interventions carried out for kidney transplantation from non-heart beating donors in Doce de Octubre University Hospital &#40;Madrid&#44; Spain&#41; between January 2013 and May 2017&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Type IIA NHBD according to the Maastricht classification &#40;modified&#44; Madrid 2011&#41;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> refers to donation from patients that have suffered cardiac arrest and who following resuscitation maneuvering by the out-hospital emergency services&#44; without the recovery of pulse&#44; are transferred to hospital under cardiac massage with mechanical chest compression&#44; intubation and mechanical ventilation&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Once resuscitation maneuvering was found to be ineffective and the transplantation coordinator of the hospital had been alerted&#44; the donors were transferred with mechanical chest compression &#40;LUCAS2&#174;&#41; and mechanical ventilation using an Oxylog 3000 plus&#174; transport respirator&#46; In hospital&#44; the possible donors were subjected to extracorporeal circulation and the kidneys were preserved under normothermal abdominal perfusion until harvesting&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The case selection criteria comprised all potential donors transferred to Doce de Octubre University Hospital in the context of NHBD&#46; The inclusion criteria were therefore the same as those applied to NHBD&#58; patients between 18&#8211;60 years of age&#44; with a time to onset of resuscitation maneuvering of under 15&#8239;min from the time of CPA&#44; arrival in hospital in less than 120&#8239;min from the time of CPA&#44; with no bleeding abdominal injuries&#44; and with no suspected neoplastic disease&#44; infections or parenteral drug abuse&#46; The potential donors were subjected to normothermal extracorporeal membrane oxygenation &#40;ECMO&#41; according to the routine procedure described in the literature&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> The recipients in turn were patients subjected to hemodialysis and on the transplant waiting list&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">The study was approved by the Ethics Committee of Francisco de Vitoria University &#40;Madrid&#44; Spain&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The following data were collected corresponding to the donors registered by the transplantation coordinator of Doce de Octubre University Hospital&#58; gender&#44; age&#44; smoking&#44; background diseases&#44; time of CPA&#44; time of start of advanced life support &#40;ALS&#41; measures&#44; time of patient hospital transfer&#44; time of arterial catheterization&#44; time of start of extracorporeal circulation&#44; time of clamping prior to organ harvesting&#44; transplantation or not of the kidney&#44; and the capnography values at the start of cardiopulmonary resuscitation &#40;CPR&#41;&#44; half-way through the emergency services care period&#44; and at the time of in-hospital transfer&#46; On a consensus basis among the authors&#44; with their experience in interpreting capnographic data&#44; and in accordance with the literature&#44;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> the capnography values were classified as normal or adequate if over 30&#8239;mmHg&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">We also recorded the cold ischemia time&#44; defined as the time between organ harvesting from the donor and its implantation in the recipient&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">For the measurement of EtCO<span class="elsevierStyleInf">2</span>&#44; and once the patient was intubated&#44; use was made of a LifePack 15&#174; monitor &#47; defibrillator &#40;Physio-Control&#44; Redmond&#44; WA&#44; USA&#41;&#44; with measurements based on side stream technology&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">The hospital case histories of the transplant patients were reviewed for compilation of the following variables&#58; gender&#44; age&#44; cause of chronic renal failure&#44; duration of dialysis before transplantation&#44; HLA system incompatibilities&#44; presence of primary renal failure&#44; acute graft rejection&#44; delayed renal function &#40;over 7 days&#41;&#44; measurement of serum creatinine &#40;day 1&#44; day 7&#44; month 3&#44; month 6&#44; 1&#8239;year&#44; 1&#46;5 years&#44; 2 years&#44; 3 years and 4 years&#41; and proteinuria &#40;day 1&#44; day 7&#44; month 3&#44; month 6&#44; 1&#8239;year&#44; 1&#46;5 years&#44; 2 years&#44; 3 years and 4 years&#41;&#44; graft survival and patient survival at 12 months&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">A descriptive statistical study was made&#44; reporting quantitative variables as the mean&#8239;&#177;&#8239;standard deviation &#40;SD&#41; and qualitative variables as frequencies&#46; Normal distribution of the quantitative variables was assessed using the Shapiro-Wilk test&#46; With regard to the comparative study&#44; and for a limited sample size&#44; we performed univariate analysis with assessment of the association between qualitative variables using the chi-squared test and Fisher exact test if any of the expected values was less than 5&#46; Associations between qualitative and quantitative variables in turn were evaluated with the nonparametric Mann-Whitney U-test&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Statistical significance was considered for p&#8239;&#60;&#8239;0&#46;05&#46; The SPSS version 21&#46;0 statistical package &#40;SPSS&#174; Inc&#46;&#44; Chicago&#44; IL&#44; USA&#41; for MS Windows was used throughout&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Results</span><p id="par0080" class="elsevierStylePara elsevierViewall">A total of 37 donors were recorded during the period of the study&#44; with a mean age of 44&#46;81&#8239;&#177;&#8239;6&#46;64 years&#46; Of these&#44; 34 were males &#40;91&#46;9&#37;&#41; and three females &#40;8&#46;1&#37;&#41;&#46; The mean time from CPA to the start of ALS was 12&#8239;&#177;&#8239;4&#46;83&#8239;min&#46; The mean time elapsed from the confirmation of donor death to organ harvesting was 3&#46;61&#8239;&#177;&#8239;0&#46;54&#8239;h&#46; The EtCO<span class="elsevierStyleInf">2</span> values at the start of ALS&#44; half-way through the emergency services care period&#44; and at the time of in-hospital transfer are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Thirty donors yielded organs &#40;n&#8239;&#61;&#8239;55 kidneys&#41;&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> compares the donors that were used versus those not used&#44; for each of the donor group variables&#58; no significant differences were observed&#44; apart from the capnometry values&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">A total of 83&#46;6&#37; recipients &#40;n&#8239;&#61;&#8239;46&#41; were males and 9 females&#44; with a mean age of 49&#46;59&#8239;&#177;&#8239;9&#46;10 years&#46; The mean duration of dialysis among the recipients was 1&#46;45&#8239;&#177;&#8239;1&#46;11&#8239;years&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">A total of 81&#46;2&#37; of the grafts &#40;n&#8239;&#61;&#8239;45 patients&#41; presented delayed renal function&#44; with a mean of 17&#46;76&#8239;&#177;&#8239;9&#46;01 days&#46; These patients required an average of 4&#46;56&#8239;&#177;&#8239;2&#46;27 hemodialysis sessions until the graft started to function normally&#46; No primary renal failures were recorded&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Likewise&#44; no statistically significant association was observed between the initial and final capnography values&#44; age&#44; cold and warm ischemia time&#44; or time from CPA to basic life support&#44; and the delay in renal function &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">The determinations referred to serum creatinine and proteinuria over follow-up of the recipients are reported in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46; The graft survival rate was 100&#37; in all the studied patients&#44; with no transplant-related deaths&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">Non-heart beating donation has become an important source of organs for transplantation&#44; particularly kidneys&#44; in the course of the last decade&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;16</span></a> According to data from the Spanish National Transplantation Organization &#40;<span class="elsevierStyleItalic">Organizaci&#243;n Nacional de Trasplantes</span>&#41;&#44; a total of 126 kidneys&#44; 15 lungs and 9 livers were transplanted in the year 2016&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> However&#44; the conditions characterizing CPA imply increased tissue vulnerability and aggression&#46; Although it seems logical for renal grafts obtained from NHBD to suffer greater stress than organs obtained from other types of donors&#44; the study carried out by Gagandeep et al&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> recorded no major differences between kidneys obtained from NHBD and those obtained from brain dead donors&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Capnometry is commonly used in the monitorization of critical patients&#44; and particularly in the context of CPA&#44; where it has been shown to act as a prognostic indicator and marker of the adequacy of ALS maneuvering&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a> Different studies have warranted the relationship between capnography values and adequate organ perfusion&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In this regard&#44; a number of studies have explored variables or factors capable of predicting the viability of organs for donation&#44; taking into consideration donors of this kind&#44; in the same way as has been done in predicting sepsis in the out-hospital setting<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#8211;22</span></a> or admission to the Intensive Care Unit &#40;ICU&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Our review of the literature yielded no studies on capnography as a predictor of graft evolution&#44; with the exception of a letter to the Editor describing liver graft rejection due to ischemia in an uncontrolled non-heart beating donor&#44; in which the capnography readings were seen to be low during resuscitation maneuvering&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">Capnography values have been related to the validity of harvested kidneys&#46; In this respect&#44; kidneys rejected due to ischemia or poor perfusion were found to come from donors with lower EtCO<span class="elsevierStyleInf">2</span> readings than those in which organ transplantation was effectively carried out &#8211; with statistically significant findings at the time of transfer&#46; This observation is consistent with the data found in the literature on the association between capnography and tissue perfusion&#44;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> though it must be underscored that other factors may also condition graft viability&#44; such as the duration of cardiopulmonary resuscitation&#44; among others&#46; However&#44; these factors have only been referred to in a clinical case published in 2011 by Cordero-Escobar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">Lower capnometry values have been recorded at the time of transfer in the case of kidneys that were not successful and had to be rejected to the effects of donation &#40;p&#8239;&#61;&#8239;0&#46;016&#41;&#46; No such data have been recorded to date in the context of NHBD resulting in renal transplantation&#44; though information is indeed available in relation to lung grafting&#44; where higher capnometry readings have been shown to be correlated to increased organ viability in transplant patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#44;27</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">Lower capnometry values have been documented at the time of transfer in kidneys with delayed renal function&#44; though the results were not statistically significant &#8211; possibly because of limitations in sample size&#46; However&#44; the data contrasting patients with delayed renal function &#40;19&#8239;mmHg&#41; versus those without delayed function &#40;26&#46;33&#8239;mmHg&#41; suggest that a study with a larger sample size and involving a prospective and controlled design could produce more convincing conclusions in this key aspect referred to organ donors and increased patient quality of life&#46; With regard to the delay in renal function&#44; the patients of the series presented an average overall delay of 17&#46;76 days&#44; which is consistent with the available literature&#44; which describes a delay in renal function in NHBD recipients of 15 days versus 7 days in patients receiving grafts from brain dead donors&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a></p><p id="par0140" class="elsevierStylePara elsevierViewall">Another aspect that has been cited as possibly conditioning delays in renal function is the duration of cold ischemia&#46; In this respect&#44; although no statistically significant differences were observed between patients without delayed renal function &#40;8&#46;875&#8239;h&#41; versus those with delayed function &#40;15&#46;023&#41; &#40;p&#8239;&#61;&#8239;0&#46;144&#41;&#44; the evidence suggests that there is a clear association between cold ischemia time and delayed renal graft function&#44; as observed in the study published by Emiro&#287;lu et al&#46; in 2005&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">With regard to the possible complications after transplantation&#44; an association has only been found between the EtCO<span class="elsevierStyleInf">2</span> values and the delay in renal graft function after transplantation &#8211; though statistical significance was not reached &#40;p&#8239;&#61;&#8239;0&#46;062&#41;&#46; This finding may be conditioned by the limited sample size involved &#40;one of the limitations of this retrospective study&#41;&#46; Accordingly&#44; it has been necessary to exclude those possible donors with last capnography readings that were not close in time to in-hospital transfer&#46; The capnometry data are recorded according to the criterion of the healthcare staff&#44; and in some cases the last capnography readings were obtained far in time from the time of transfer&#46; As a result&#44; with a view to securing a more reliable analysis&#44; some of these cases were obviated&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">The limitations of the present study are clear and evident&#44; and need to be resolved by the research team in future studies&#44; since on the basis of the data generated by our analysis&#44; we can only insist on the need for a prospective study involving a large sample size in order to confirm all the assumptions of this first evaluation of the capnometry results in NHBD patients&#44; with a view to better understanding the crucial role of capnography and posterior intervention on the part of the emergency services&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">In conclusion&#44; capnometry could be a factor to be considered in the selection of possible non-heart beating donors&#44; as it is related to the rejection of organs for transplantation purposes&#46; On the other hand&#44; further research is required&#44; involving larger sample sizes and more adequate designs for the appropriate collection of variables&#44; with a view to confirming the hypothesis that the capnography values recorded during resuscitation are related to delayed renal graft function after transplantation&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Authorship</span><p id="par0160" class="elsevierStylePara elsevierViewall">Alonso Mateos and Alicia Villar carried out the clinical interpretation of the statistical analysis&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">David Varillas performed the statistical analysis and editing and drafting of the manuscript&#44; together with Alonso Mateos and Alicia Villar&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Carlos Rubio and Alicia Villar compiled the patient data from the case history records of Doce de Octubre University Hospital&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Francisco Jos&#233; del R&#237;o and Amado Andr&#233;s facilitated access to the data and endorsed the study&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Alonso Mateos&#44; David Varillas and Alicia Villar are members of the Donation and Transplant Research Group of Francisco de Vitoria University&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conflicts of interest</span><p id="par0185" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The capnometry values during resuscitation are an evolutive predictor of kidneys obtained from uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Design</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The study comprised a retrospective onset cohort of 37 non-heart beating donors and a validation cohort of 55 transplanted kidneys in the period 2013&#8211;2017&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Scope</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The population served by the emergency service and referred to Hospital Universitario Doce de Octubre &#40;Madrid&#44; Spain&#41; as potential uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Patients</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A total of 55 renal transplant patients subjected to hemodialysis and with grafts from uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Interventions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Capnometry and capnography measurements in potential uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Variables</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Capnometry values recorded initially and at transfer in hospital for comparison with the viability of the extracted kidneys&#59; renal failure and delayed renal function&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A total of 55 out of 74 extracted kidneys were transplanted &#40;74&#46;3&#37;&#41;&#46; The rest were ruled out due to poor perfusion or signs of ischemia&#46; An association was observed &#40;p&#8239;&#61;&#8239;0&#46;016&#41; between the capnometry values during resuscitation in the grafted kidneys &#40;&#181;&#8239;&#61;&#8239;22&#46;8&#8239;mmHg&#41; and in the kidneys discarded for transplantation &#40;&#181;&#8239;&#61;&#8239;17&#46;35&#8239;mmHg&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conclusions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Capnometry during resuscitation serves as a marker to be taken into account in relation to the viability of the transplanted organs in uncontrolled non-heart beating donors&#46;</p></span>"
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        "resumen" => "<span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Objetivo</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Los valores de capnometr&#237;a durante la resucitaci&#243;n son un factor predictor de la evoluci&#243;n de los ri&#241;ones obtenidos a partir de donantes en asistolia no controlada&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Dise&#241;o</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Cohorte de comienzo retrospectivo de 37 donantes en asistolia&#44; y cohorte de validaci&#243;n de 55 trasplantados de ri&#241;&#243;n&#44; entre 2013&#8211;2017&#46;</p></span> <span id="abst0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">&#193;mbito</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">poblaci&#243;n atendida por el servicio de emergencias y derivada al Hospital Universitario 12 de Octubre&#44; Madrid&#44; como potenciales donantes en asistolia no controlada&#46;</p></span> <span id="abst0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Pacientes</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">55 trasplantados renales con hemodi&#225;lisis&#44; procedentes de donantes en asistolia no controlada&#46;</p></span> <span id="abst0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Intervenciones</span><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">determinaciones de capnometr&#237;a y capnograf&#237;a en pacientes candidatos a donaci&#243;n en asistolia no controlada&#46;</p></span> <span id="abst0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Variables</span><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Valores de capnometr&#237;a inicial y en el momento de la transferencia en el hospital para su comparaci&#243;n con la viabilidad de los ri&#241;ones extra&#237;dos&#59; fallo renal y retraso en funci&#243;n renal&#46;</p></span> <span id="abst0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados</span><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">37 potenciales donantes de los que se consiguen 30 utilizados&#44; de los cuales se trasplantan 55 ri&#241;ones&#46; El resto fueron descartados por mala perfusi&#243;n o signos de isquemia&#46; Se encontr&#243; una asociaci&#243;n &#40;p&#8239;&#61;&#8239;0&#46;016&#41; entre valores de capnometr&#237;a durante la resucitaci&#243;n en los donantes utilizados &#40;&#181;&#8239;&#61;&#8239;22&#46;8&#8239;mmHg&#41; frente a los donantes no utlizados para el trasplante &#40;&#181;&#8239;&#61;&#8239;17&#46;35&#8239;mmHg&#41;&#46;</p></span> <span id="abst0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conclusiones</span><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Se ha demostrado que los valores de capnometr&#237;a durante las maniobras de resucitaci&#243;n ofrecen un marcador a tener en cuenta en relaci&#243;n con la viabilidad de los &#243;rganos a trasplantar en la donaci&#243;n en asistolia no controlada&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Mateos Rodr&#237;guez A&#44; Varillas Delgado D&#44; Villar Arias A&#44; Rubio Chac&#243;n C&#44; Andr&#233;s Belmonte A&#46; Niveles de capnometr&#237;a como indicador de evoluci&#243;n de injerto renal de donantes en asistolia no controlada&#46; Med Intensiva&#46; 2020&#59;44&#58;233&#8211;238&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;mmHg&#41; &#177; SD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Initial capnometry&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#46;8&#8239;&#177;&#8239;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transfer capnometry&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;8&#8239;&#177;&#8239;18&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#46;83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">40&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;051&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Male gender&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;306&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Initial capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;471&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Final capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;016&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Disease &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;624&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Smoker &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;890&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Time CPA-ALS &#40;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">No &#40;n&#8239;&#61;&#8239;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Yes &#40;n&#8239;&#61;&#8239;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p-Value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Initial capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;963&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transfer capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;235&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#46;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;196&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cold ischemia time &#40;h&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#46;875&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#46;023&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;144&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Warm ischemia time &#40;h&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;478&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;555&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;729&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Time PCS-ALS &#40;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9&#46;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;245&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                    0 => array:2 [
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Original
Capnometry levels as an indicator of renal graft evolution in uncontrolled non-heart beating donors
Niveles de capnometría como indicador de evolución de injerto renal de donantes en asistolia no controlada
A. Mateos Rodrígueza,b,e,
Corresponding author
alonso.mateos@salud.madrid.org

Corresponding author.
, D. Varillas Delgadob,e, A. Villar Ariasc,e, C. Rubio Chacónc, A. Andrés Belmonted
a Oficina Regional de Coordinación de Trasplantes, Consejería de Sanidad, Comunidad de Madrid, Spain
b Facultad de Ciencias de la Salud, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain
c Servicio de Urgencias Médicas de Madrid SUMMA112, Comunidad de Madrid, Spain
d Coordinación de Trasplantes, Hospital Universitario 12 de Octubre, Madrid, Spain
e Grupo de Investigación en Donación y Trasplantes, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain
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it is therefore of interest to establish scientifically tested indicators that are effective in selecting possible donors&#46; Capnography could be one of these indicators&#44; and although this field has not been extensively developed to date&#44; a number of studies have suggested that capnography may be a method to be taken into account&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In view of the above&#44; the present study was designed to assess capnography as a predictor of the viability of renal grafts in NHBD&#44; exploring the relationship between application of the technique during the donor management process in the emergency care setting and the condition of the possible renal grafts obtained&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Patients and methods</span><p id="par0025" class="elsevierStylePara elsevierViewall">A retrospective study was made of the interventions carried out for kidney transplantation from non-heart beating donors in Doce de Octubre University Hospital &#40;Madrid&#44; Spain&#41; between January 2013 and May 2017&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Type IIA NHBD according to the Maastricht classification &#40;modified&#44; Madrid 2011&#41;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> refers to donation from patients that have suffered cardiac arrest and who following resuscitation maneuvering by the out-hospital emergency services&#44; without the recovery of pulse&#44; are transferred to hospital under cardiac massage with mechanical chest compression&#44; intubation and mechanical ventilation&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Once resuscitation maneuvering was found to be ineffective and the transplantation coordinator of the hospital had been alerted&#44; the donors were transferred with mechanical chest compression &#40;LUCAS2&#174;&#41; and mechanical ventilation using an Oxylog 3000 plus&#174; transport respirator&#46; In hospital&#44; the possible donors were subjected to extracorporeal circulation and the kidneys were preserved under normothermal abdominal perfusion until harvesting&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The case selection criteria comprised all potential donors transferred to Doce de Octubre University Hospital in the context of NHBD&#46; The inclusion criteria were therefore the same as those applied to NHBD&#58; patients between 18&#8211;60 years of age&#44; with a time to onset of resuscitation maneuvering of under 15&#8239;min from the time of CPA&#44; arrival in hospital in less than 120&#8239;min from the time of CPA&#44; with no bleeding abdominal injuries&#44; and with no suspected neoplastic disease&#44; infections or parenteral drug abuse&#46; The potential donors were subjected to normothermal extracorporeal membrane oxygenation &#40;ECMO&#41; according to the routine procedure described in the literature&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a> The recipients in turn were patients subjected to hemodialysis and on the transplant waiting list&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">The study was approved by the Ethics Committee of Francisco de Vitoria University &#40;Madrid&#44; Spain&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The following data were collected corresponding to the donors registered by the transplantation coordinator of Doce de Octubre University Hospital&#58; gender&#44; age&#44; smoking&#44; background diseases&#44; time of CPA&#44; time of start of advanced life support &#40;ALS&#41; measures&#44; time of patient hospital transfer&#44; time of arterial catheterization&#44; time of start of extracorporeal circulation&#44; time of clamping prior to organ harvesting&#44; transplantation or not of the kidney&#44; and the capnography values at the start of cardiopulmonary resuscitation &#40;CPR&#41;&#44; half-way through the emergency services care period&#44; and at the time of in-hospital transfer&#46; On a consensus basis among the authors&#44; with their experience in interpreting capnographic data&#44; and in accordance with the literature&#44;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> the capnography values were classified as normal or adequate if over 30&#8239;mmHg&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">We also recorded the cold ischemia time&#44; defined as the time between organ harvesting from the donor and its implantation in the recipient&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">For the measurement of EtCO<span class="elsevierStyleInf">2</span>&#44; and once the patient was intubated&#44; use was made of a LifePack 15&#174; monitor &#47; defibrillator &#40;Physio-Control&#44; Redmond&#44; WA&#44; USA&#41;&#44; with measurements based on side stream technology&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">The hospital case histories of the transplant patients were reviewed for compilation of the following variables&#58; gender&#44; age&#44; cause of chronic renal failure&#44; duration of dialysis before transplantation&#44; HLA system incompatibilities&#44; presence of primary renal failure&#44; acute graft rejection&#44; delayed renal function &#40;over 7 days&#41;&#44; measurement of serum creatinine &#40;day 1&#44; day 7&#44; month 3&#44; month 6&#44; 1&#8239;year&#44; 1&#46;5 years&#44; 2 years&#44; 3 years and 4 years&#41; and proteinuria &#40;day 1&#44; day 7&#44; month 3&#44; month 6&#44; 1&#8239;year&#44; 1&#46;5 years&#44; 2 years&#44; 3 years and 4 years&#41;&#44; graft survival and patient survival at 12 months&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">A descriptive statistical study was made&#44; reporting quantitative variables as the mean&#8239;&#177;&#8239;standard deviation &#40;SD&#41; and qualitative variables as frequencies&#46; Normal distribution of the quantitative variables was assessed using the Shapiro-Wilk test&#46; With regard to the comparative study&#44; and for a limited sample size&#44; we performed univariate analysis with assessment of the association between qualitative variables using the chi-squared test and Fisher exact test if any of the expected values was less than 5&#46; Associations between qualitative and quantitative variables in turn were evaluated with the nonparametric Mann-Whitney U-test&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Statistical significance was considered for p&#8239;&#60;&#8239;0&#46;05&#46; The SPSS version 21&#46;0 statistical package &#40;SPSS&#174; Inc&#46;&#44; Chicago&#44; IL&#44; USA&#41; for MS Windows was used throughout&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Results</span><p id="par0080" class="elsevierStylePara elsevierViewall">A total of 37 donors were recorded during the period of the study&#44; with a mean age of 44&#46;81&#8239;&#177;&#8239;6&#46;64 years&#46; Of these&#44; 34 were males &#40;91&#46;9&#37;&#41; and three females &#40;8&#46;1&#37;&#41;&#46; The mean time from CPA to the start of ALS was 12&#8239;&#177;&#8239;4&#46;83&#8239;min&#46; The mean time elapsed from the confirmation of donor death to organ harvesting was 3&#46;61&#8239;&#177;&#8239;0&#46;54&#8239;h&#46; The EtCO<span class="elsevierStyleInf">2</span> values at the start of ALS&#44; half-way through the emergency services care period&#44; and at the time of in-hospital transfer are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Thirty donors yielded organs &#40;n&#8239;&#61;&#8239;55 kidneys&#41;&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> compares the donors that were used versus those not used&#44; for each of the donor group variables&#58; no significant differences were observed&#44; apart from the capnometry values&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">A total of 83&#46;6&#37; recipients &#40;n&#8239;&#61;&#8239;46&#41; were males and 9 females&#44; with a mean age of 49&#46;59&#8239;&#177;&#8239;9&#46;10 years&#46; The mean duration of dialysis among the recipients was 1&#46;45&#8239;&#177;&#8239;1&#46;11&#8239;years&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">A total of 81&#46;2&#37; of the grafts &#40;n&#8239;&#61;&#8239;45 patients&#41; presented delayed renal function&#44; with a mean of 17&#46;76&#8239;&#177;&#8239;9&#46;01 days&#46; These patients required an average of 4&#46;56&#8239;&#177;&#8239;2&#46;27 hemodialysis sessions until the graft started to function normally&#46; No primary renal failures were recorded&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Likewise&#44; no statistically significant association was observed between the initial and final capnography values&#44; age&#44; cold and warm ischemia time&#44; or time from CPA to basic life support&#44; and the delay in renal function &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">The determinations referred to serum creatinine and proteinuria over follow-up of the recipients are reported in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46; The graft survival rate was 100&#37; in all the studied patients&#44; with no transplant-related deaths&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">Non-heart beating donation has become an important source of organs for transplantation&#44; particularly kidneys&#44; in the course of the last decade&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;16</span></a> According to data from the Spanish National Transplantation Organization &#40;<span class="elsevierStyleItalic">Organizaci&#243;n Nacional de Trasplantes</span>&#41;&#44; a total of 126 kidneys&#44; 15 lungs and 9 livers were transplanted in the year 2016&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> However&#44; the conditions characterizing CPA imply increased tissue vulnerability and aggression&#46; Although it seems logical for renal grafts obtained from NHBD to suffer greater stress than organs obtained from other types of donors&#44; the study carried out by Gagandeep et al&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> recorded no major differences between kidneys obtained from NHBD and those obtained from brain dead donors&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Capnometry is commonly used in the monitorization of critical patients&#44; and particularly in the context of CPA&#44; where it has been shown to act as a prognostic indicator and marker of the adequacy of ALS maneuvering&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a> Different studies have warranted the relationship between capnography values and adequate organ perfusion&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In this regard&#44; a number of studies have explored variables or factors capable of predicting the viability of organs for donation&#44; taking into consideration donors of this kind&#44; in the same way as has been done in predicting sepsis in the out-hospital setting<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#8211;22</span></a> or admission to the Intensive Care Unit &#40;ICU&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Our review of the literature yielded no studies on capnography as a predictor of graft evolution&#44; with the exception of a letter to the Editor describing liver graft rejection due to ischemia in an uncontrolled non-heart beating donor&#44; in which the capnography readings were seen to be low during resuscitation maneuvering&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">Capnography values have been related to the validity of harvested kidneys&#46; In this respect&#44; kidneys rejected due to ischemia or poor perfusion were found to come from donors with lower EtCO<span class="elsevierStyleInf">2</span> readings than those in which organ transplantation was effectively carried out &#8211; with statistically significant findings at the time of transfer&#46; This observation is consistent with the data found in the literature on the association between capnography and tissue perfusion&#44;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> though it must be underscored that other factors may also condition graft viability&#44; such as the duration of cardiopulmonary resuscitation&#44; among others&#46; However&#44; these factors have only been referred to in a clinical case published in 2011 by Cordero-Escobar et al&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">Lower capnometry values have been recorded at the time of transfer in the case of kidneys that were not successful and had to be rejected to the effects of donation &#40;p&#8239;&#61;&#8239;0&#46;016&#41;&#46; No such data have been recorded to date in the context of NHBD resulting in renal transplantation&#44; though information is indeed available in relation to lung grafting&#44; where higher capnometry readings have been shown to be correlated to increased organ viability in transplant patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#44;27</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">Lower capnometry values have been documented at the time of transfer in kidneys with delayed renal function&#44; though the results were not statistically significant &#8211; possibly because of limitations in sample size&#46; However&#44; the data contrasting patients with delayed renal function &#40;19&#8239;mmHg&#41; versus those without delayed function &#40;26&#46;33&#8239;mmHg&#41; suggest that a study with a larger sample size and involving a prospective and controlled design could produce more convincing conclusions in this key aspect referred to organ donors and increased patient quality of life&#46; With regard to the delay in renal function&#44; the patients of the series presented an average overall delay of 17&#46;76 days&#44; which is consistent with the available literature&#44; which describes a delay in renal function in NHBD recipients of 15 days versus 7 days in patients receiving grafts from brain dead donors&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a></p><p id="par0140" class="elsevierStylePara elsevierViewall">Another aspect that has been cited as possibly conditioning delays in renal function is the duration of cold ischemia&#46; In this respect&#44; although no statistically significant differences were observed between patients without delayed renal function &#40;8&#46;875&#8239;h&#41; versus those with delayed function &#40;15&#46;023&#41; &#40;p&#8239;&#61;&#8239;0&#46;144&#41;&#44; the evidence suggests that there is a clear association between cold ischemia time and delayed renal graft function&#44; as observed in the study published by Emiro&#287;lu et al&#46; in 2005&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">With regard to the possible complications after transplantation&#44; an association has only been found between the EtCO<span class="elsevierStyleInf">2</span> values and the delay in renal graft function after transplantation &#8211; though statistical significance was not reached &#40;p&#8239;&#61;&#8239;0&#46;062&#41;&#46; This finding may be conditioned by the limited sample size involved &#40;one of the limitations of this retrospective study&#41;&#46; Accordingly&#44; it has been necessary to exclude those possible donors with last capnography readings that were not close in time to in-hospital transfer&#46; The capnometry data are recorded according to the criterion of the healthcare staff&#44; and in some cases the last capnography readings were obtained far in time from the time of transfer&#46; As a result&#44; with a view to securing a more reliable analysis&#44; some of these cases were obviated&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">The limitations of the present study are clear and evident&#44; and need to be resolved by the research team in future studies&#44; since on the basis of the data generated by our analysis&#44; we can only insist on the need for a prospective study involving a large sample size in order to confirm all the assumptions of this first evaluation of the capnometry results in NHBD patients&#44; with a view to better understanding the crucial role of capnography and posterior intervention on the part of the emergency services&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">In conclusion&#44; capnometry could be a factor to be considered in the selection of possible non-heart beating donors&#44; as it is related to the rejection of organs for transplantation purposes&#46; On the other hand&#44; further research is required&#44; involving larger sample sizes and more adequate designs for the appropriate collection of variables&#44; with a view to confirming the hypothesis that the capnography values recorded during resuscitation are related to delayed renal graft function after transplantation&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Authorship</span><p id="par0160" class="elsevierStylePara elsevierViewall">Alonso Mateos and Alicia Villar carried out the clinical interpretation of the statistical analysis&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">David Varillas performed the statistical analysis and editing and drafting of the manuscript&#44; together with Alonso Mateos and Alicia Villar&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Carlos Rubio and Alicia Villar compiled the patient data from the case history records of Doce de Octubre University Hospital&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Francisco Jos&#233; del R&#237;o and Amado Andr&#233;s facilitated access to the data and endorsed the study&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Alonso Mateos&#44; David Varillas and Alicia Villar are members of the Donation and Transplant Research Group of Francisco de Vitoria University&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Conflicts of interest</span><p id="par0185" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The capnometry values during resuscitation are an evolutive predictor of kidneys obtained from uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Design</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The study comprised a retrospective onset cohort of 37 non-heart beating donors and a validation cohort of 55 transplanted kidneys in the period 2013&#8211;2017&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Scope</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The population served by the emergency service and referred to Hospital Universitario Doce de Octubre &#40;Madrid&#44; Spain&#41; as potential uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Patients</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A total of 55 renal transplant patients subjected to hemodialysis and with grafts from uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Interventions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Capnometry and capnography measurements in potential uncontrolled non-heart beating donors&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Variables</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Capnometry values recorded initially and at transfer in hospital for comparison with the viability of the extracted kidneys&#59; renal failure and delayed renal function&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A total of 55 out of 74 extracted kidneys were transplanted &#40;74&#46;3&#37;&#41;&#46; The rest were ruled out due to poor perfusion or signs of ischemia&#46; An association was observed &#40;p&#8239;&#61;&#8239;0&#46;016&#41; between the capnometry values during resuscitation in the grafted kidneys &#40;&#181;&#8239;&#61;&#8239;22&#46;8&#8239;mmHg&#41; and in the kidneys discarded for transplantation &#40;&#181;&#8239;&#61;&#8239;17&#46;35&#8239;mmHg&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conclusions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Capnometry during resuscitation serves as a marker to be taken into account in relation to the viability of the transplanted organs in uncontrolled non-heart beating donors&#46;</p></span>"
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        "resumen" => "<span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Objetivo</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Los valores de capnometr&#237;a durante la resucitaci&#243;n son un factor predictor de la evoluci&#243;n de los ri&#241;ones obtenidos a partir de donantes en asistolia no controlada&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Dise&#241;o</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Cohorte de comienzo retrospectivo de 37 donantes en asistolia&#44; y cohorte de validaci&#243;n de 55 trasplantados de ri&#241;&#243;n&#44; entre 2013&#8211;2017&#46;</p></span> <span id="abst0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">&#193;mbito</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">poblaci&#243;n atendida por el servicio de emergencias y derivada al Hospital Universitario 12 de Octubre&#44; Madrid&#44; como potenciales donantes en asistolia no controlada&#46;</p></span> <span id="abst0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Pacientes</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">55 trasplantados renales con hemodi&#225;lisis&#44; procedentes de donantes en asistolia no controlada&#46;</p></span> <span id="abst0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Intervenciones</span><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">determinaciones de capnometr&#237;a y capnograf&#237;a en pacientes candidatos a donaci&#243;n en asistolia no controlada&#46;</p></span> <span id="abst0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Variables</span><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Valores de capnometr&#237;a inicial y en el momento de la transferencia en el hospital para su comparaci&#243;n con la viabilidad de los ri&#241;ones extra&#237;dos&#59; fallo renal y retraso en funci&#243;n renal&#46;</p></span> <span id="abst0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados</span><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">37 potenciales donantes de los que se consiguen 30 utilizados&#44; de los cuales se trasplantan 55 ri&#241;ones&#46; El resto fueron descartados por mala perfusi&#243;n o signos de isquemia&#46; Se encontr&#243; una asociaci&#243;n &#40;p&#8239;&#61;&#8239;0&#46;016&#41; entre valores de capnometr&#237;a durante la resucitaci&#243;n en los donantes utilizados &#40;&#181;&#8239;&#61;&#8239;22&#46;8&#8239;mmHg&#41; frente a los donantes no utlizados para el trasplante &#40;&#181;&#8239;&#61;&#8239;17&#46;35&#8239;mmHg&#41;&#46;</p></span> <span id="abst0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conclusiones</span><p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Se ha demostrado que los valores de capnometr&#237;a durante las maniobras de resucitaci&#243;n ofrecen un marcador a tener en cuenta en relaci&#243;n con la viabilidad de los &#243;rganos a trasplantar en la donaci&#243;n en asistolia no controlada&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Mateos Rodr&#237;guez A&#44; Varillas Delgado D&#44; Villar Arias A&#44; Rubio Chac&#243;n C&#44; Andr&#233;s Belmonte A&#46; Niveles de capnometr&#237;a como indicador de evoluci&#243;n de injerto renal de donantes en asistolia no controlada&#46; Med Intensiva&#46; 2020&#59;44&#58;233&#8211;238&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean &#40;mmHg&#41; &#177; SD&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Initial capnometry&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#46;8&#8239;&#177;&#8239;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transfer capnometry&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;8&#8239;&#177;&#8239;18&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#46;83&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">40&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;051&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Male gender&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;306&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Initial capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#46;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;471&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Final capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#46;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;016&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Disease &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;624&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Smoker &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#46;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;890&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Time CPA-ALS &#40;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">No &#40;n&#8239;&#61;&#8239;10&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Yes &#40;n&#8239;&#61;&#8239;45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p-Value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Initial capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#46;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#46;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;963&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transfer capnometry &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;235&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&#46;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#46;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;196&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cold ischemia time &#40;h&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#46;875&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#46;023&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;144&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Warm ischemia time &#40;h&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;478&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;555&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;729&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Time PCS-ALS &#40;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9&#46;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;245&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                    0 => array:2 [
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Article information
ISSN: 21735727
Original language: English
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2021 February 58 34 92
2021 January 38 27 65
2020 December 48 35 83
2020 November 27 18 45
2020 October 10 11 21
2020 July 10 9 19
2020 June 25 14 39
2020 May 41 23 64
2020 April 30 21 51
2020 March 2 0 2
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Medicina Intensiva (English Edition)
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?