La punción arterial en nuestro ámbito. Seguimiento de la normativa SEPAR 1987
Arterial puncture in our context. Compliance with the 1987 guidelines of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR)
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Seguimiento de la normativa SEPAR 1987" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "394" "paginaFinal" => "398" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Giner, V. Macian, F. Burgos, A. Berrojalbiz, E. Martín" "autores" => array:5 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Giner" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "V." "apellidos" => "Macian" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Burgos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Berrojalbiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 4 => array:3 [ "nombre" => "E." "apellidos" => "Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Hospital de la Santa Creu i Sant Pau. Barcelona" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Universitario La Fe. Valencia" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Hospital Clínic i Provincial. Barcelona" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Hospital de Cruces. Baracaldo. Vizcaya" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Hospital Virgen del Rocío. Sevilla" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Unitat de Fundó Pulmonar. Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau. Avda. Sant Antoni M.a Claret, 167. 08025 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Arterial puncture in our context. Compliance with the 1987 guidelines of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR)" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1993-11-09" "fechaAceptado" => "1994-03-22" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de nuestro estudio fue evaluar el procedimiento utilizado para la medición de los gases arteriales en nuestros hospitales y comprobar su adecuación a la normativa publicada por SEPAR en 1987. Con este fin se confeccionó una encuesta compuesta por preguntas relacionadas con el procedimiento de obtención, transporte, almacenado y análisis de la muestra y el conocimiento de la mencionada normativa. Las encuestas se repartieron entre 150 servicios de neumologia, medicina interna, unidades de vigilancia intensiva y urgencias. Se obtuvo respuesta en 78 centros (un 71% procedían de neumología). De los datos obtenidos se desprende que en general: la punción arterial la realiza personal de enfermería; con jeringas para gases y sin anestesia; la arteria utilizada es la radial; la compresión pospunción la realiza el paciente, y la muestra se analiza antes de 15 minutos y se almacena en frío. El analizador es un modelo automático instalado en el propio servicio. Se utilizan gases y soluciones tamponadas para su calibración y los controles de calidad son escasos. Se desconocen algunos aspectos de la normativa.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Por todo ello creemos que debería realizarse un esfuerzo para su mayor difusión, con el ánimo de mejorar la práctica de la gasometría arterial.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This study sought to evalúate the procedures used for measuring arterial gases in our hospitals and determine the level of compliance with the 1987 SEPAR guidelines. Questionnaires covering the obtention, transport, storage and analysis of samples, as well as familiarity with the guidelines were distributed to 150 pneumology, internal medicine, intensive care and emergency Services; 78 centers responded (71% from pneumology departments). General information obtained was as follows: arterial puncture is carried out by nurses without anesthesia and using syringes for gases; the radial artery is used; with post-puncture pressure provided by the patient; the sample is analyzed within 15 minutes and coid storage is used. The department's own automatic analyzer is used. Buffered gases and Solutions are used for calibration and quality control measures are rare. Some aspects of the guidelines are unfamiliar.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We believe that an effort should be made to extend application of the guidelines in order to improve arterial blood gas analysis.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recomendaciones SEPAR. Núm. 6" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Normativa, SEPAR., sobre la gasometría arterial" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1987" "editorial" => "Ed. Doyma" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Arterial blood gases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Hansen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "En: Pulmonary Function Testing. Ed. DA. 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Sala" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "MIR" "fecha" => "1979" "volumen" => "1" "paginaInicial" => "267" "paginaFinal" => "269" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.P. Liss" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Stability of blood gases in ice and at room temperature Chest" "fecha" => "1993" "volumen" => "103" "paginaInicial" => "1.120" "paginaFinal" => "1.122" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Variaciones de la gasometría arterial en relación con la manipulación de la muestra y material empleado" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.L. Izquierdo" 1 => "M.S. Ribas" 2 => "M. Izquierdo" 3 => "J.M. Rodríguez" 4 => "J.L. Viejo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1990" "volumen" => "26" "paginaInicial" => "181" "paginaFinal" => "185" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003000000008/v1_201509151239/S0300289615310322/v1_201509151239/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003000000008/v1_201509151239/S0300289615310322/v1_201509151239/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310322?idApp=UINPBA00003Z" ]
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