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2019, Número 4

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Rev Mex Anest 2019; 42 (4)


Saturación venosa central de oxígeno y presión sanguínea en anestesia espinal de pacientes con preeclampsia severa

Gaona‑Ramírez MI, Vázquez‑Rodríguez JG, Lagunes‑Gaona E

Idioma: Español
Referencias bibliográficas: 41
Paginas: 260-267
Archivo PDF: 318.60 Kb.


RESUMEN

Introducción: La monitorización durante la anestesia es obligatoria. Objetivo: Determinar la saturación venosa central de oxígeno durante anestesia. Material y métodos: Estudio prospectivo de 25 pacientes con preeclampsia severa sometidas a cesárea bajo anestesia espinal. Se determinó saturación venosa central de oxígeno y presión arterial media: basal, al minuto 12 de la administración de dosis espinal, y al final de la anestesia. Prueba t de Student, coeficiente de correlación de Spearman, p ‹ 0.05 significativa. Resultados: Saturación venosa central de oxígeno basal, 77.6 ± 7.0%, al minuto 12, 77.9 ± 5.3% y al final de la anestesia, 76.1 ± 7.2%. La saturación venosa central de oxígeno ‹ 70% se presentó en 8% casos (basal) y 20% (final). La presión arterial media basal fue 114.1 ± 13.9 mmHg; al minuto 12, 95.5 ± 15.4 mmHg y al final fue 96.1 ± 11.1 mmHg (p ‹ 0.05). No hubo correlación entre presión arterial media y saturación venosa central de oxígeno. Hubo asociación lineal significativa entre hemoglobina y saturación venosa central de oxígeno. Conclusión: La saturación venosa central de oxígeno durante anestesia espinal no presentó diferencias significativas. La identificación de pacientes preeclámpticas severas con saturación venosa central de oxígeno ‹ 70% debería alertar a los clínicos sobre un compromiso de la oxigenación tisular. La no correlación entre saturación venosa central de oxígeno y presión arterial media sugiere que los dos parámetros deberían ser medidos e interpretados en forma independiente.


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