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2016, Número 1

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Rev Mex Anest 2016; 39 (1)


Claves para el manejo de la vía aérea en la embarazada

Ramírez-Paesano C, Rivera-Valencia R, Tovar-Correa L

Idioma: Español
Referencias bibliográficas: 47
Paginas: 64-70
Archivo PDF: 198.42 Kb.


RESUMEN

El manejo de la vía aérea en la paciente embarazada sigue siendo un reto para el anestesiólogo, en especial aquéllas con preeclampsia y obesidad. Aunque la regla de oro para su manejo sigue siendo la intubación endotraqueal, cuando existen dificultades, la prioridad debe ser la oxigenación/ventilación de la madre. Considerar el uso precoz de dispositivos supraglóticos y videolaringoscopios es de gran ayuda. El algoritmo en el manejo de la vía aérea y la conducta obstétrica dependerá del bienestar feto/materno. En la actualidad, la valoración de la vía aérea durante el trabajo de parto o previo a una cesárea y el equipamiento adecuado con dispositivos para el manejo avanzado de la vía aérea unido al entrenamiento permanente del personal son la clave para el éxito y la disminución de las complicaciones.


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