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2016, Número 1

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Rev Mex Anest 2016; 39 (1)


Prevención y tratamiento de hipotensión materna durante la cesárea bajo bloqueo espinal

Ochoa-Gaitán G, Hernández-Favela P, Ochoa-Millán JG, Acosta-Lua A

Idioma: Español
Referencias bibliográficas: 45
Paginas: 71-78
Archivo PDF: 229.98 Kb.


RESUMEN

El manejo de la presión arterial perioperatoria es un factor clave para los anestesiólogos, ya que su inestabilidad se asocia con eventos adversos. Durante la anestesia, la presión arterial puede ser sostenida por tres sistemas vasopresores: el sistema nervioso simpático, el sistema renina-angiotensina y la vasopresina. Es obligatorio mantener una normovolemia para evitar la hipotensión intraoperatoria, existen tres estrategias en la administración de líquidos que nos ayudan a prevenir la hipotensión materna y a reducir la necesidad de vasopresores: 1) precarga con coloides, 2) cocarga con coloides y 3) cocarga con cristaloides. La precarga con cristaloides no es tan efectiva como estas estrategias previas. La hipotensión debe ser tratada rápidamente por un agente por vía intravenosa y una disminución de la profundidad de la anestesia para limitar su duración y eventos adversos.


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