2016, Número S1
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Rev Mex Anest 2016; 39 (S1)
Morbimortalidad atribuible a la hipotensión transoperatoria
González-Chon O, Mille-Loera JE
Idioma: Español
Referencias bibliográficas: 19
Paginas: 86-89
Archivo PDF: 167.57 Kb.
FRAGMENTO
Introducción
Cada año se realizan más de 100 millones de cirugías no cardíacas en el mundo, siendo la mayoría electivas con un porcentaje de complicaciones del 0.5 a 1%. Dentro de éstas destacan muerte perioperatoria, infartos no fatales, lesión renal aguda y eventos vasculares cerebrales.
Por este motivo, numerosos estudios han intentado demostrar el beneficio del uso profiláctico de alfa 2 agonistas y beta bloqueadores, sin embargo, no se ha encontrado mejoría significativa en los desenlaces transoperatorios, solamente hubo mejoría en infartos al miocardio no fatales y hubo aumento de mortalidad con los beta bloqueadores pero se han reportado complicaciones relacionadas con el tratamiento, en especial la hipotensión y bradicardia relacionada.
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