Díaz-Franco SD, Cortés-Chamorro R, García-Colmeneros I, Díaz-Franco MS, Vega-Ángeles MG, Hernández-Cortés Y, Sosa-García JO

Language: Spanish
References: 19
Page: 207-212
PDF size: 195.03 Kb.

ABSTRACT

Every year the increase of pregnant women that require a non-obstetric anesthesic-surgical procedure is significant with an incidence between 1.5 to 2.0% wich is equivalent to 500 to 635 pregnant women; the diagnosis and the pathologies that require surgery have created great in recent years controversy due to speculation about the risks in which the fetus and the mother are subjected, that is why clinical studies have been conducted to know the ideal moment of surgery if it were necessary during pregnancy, as well as anesthetic-surgical guidelines to offer safe surgery. Recently, the use of minimally invasive surgery such as laparoscopic surgery has increased due to the great advantages that it provides during pregnancy. The present work aims to raise awareness of the most relevant aspects from the anesthetic point of view to understand the physiological changes of pregnancy and its pathophysiological changes in the pathology that requires surgery, thus being able to plan a safe perioperative according to the guidelines established and be able to successfully complete the maternal fetal binomial.

REFERENCES

1. Kuczkowski KM. Nonobstetric surgery during pregnancy: what are the risks of anesthesia? Obstet Gynecol Surv. 2004;59:52-56.

2. Kuczkowski KM. The safety of anaesthetics in pregnant women. Expert Opin Drug Saf. 2006;5:251-264.

3. Páez-Serralde F. Manejo anestésico en cirugía laparoscópica en paciente obstétrica. Rev Mex Anest. 2011;34: 108-111.

4. Socha-García NI, Gómez-Morant JC, Holguín-González E. Cirugía no obstétrica durante el embarazo. Rev Colomb Anestesiol. 2011;39:360-373.

5. Kuczkowski KM. Laparoscopic procedures during pregnancy and the risks of anesthesia: what does an obstetrician need to know? Arch Gynecol Obstet. 2007;276:201-209.

6. Duvekot JJ, Peeters LL. Maternal cardiovascular hemodynamic adaptation to pregnancy. Obstet Gynecol Surv. 1994;49:S1-S14.

7. Gorman RS, Rosen MA. Anesthetic implications of maternal physiological changes during pregnancy. Seminars in Anesthesia, Perioperative Medicine and Pain. 2000;19:1-9.

8. Larraín de la C D, Durruty VG, Pomés CC, Cuello FM. Consideraciones para el uso de la laparoscopia durante el embarazo. Rev Chil Obstet Ginecol. 2007;72:247-257.

9. Chohan L, Kilpatrick CC. Laparoscopy in pregnancy: a literature review. Clin Obstet Gynecol. 2009;52:557-569.

10. Wilasrusmee C, Sukrat B, McEvoy M, Attia J, Thakkinstian A. Systematic review and meta-analysis of safety of laparoscopic versus open appendicectomy for suspected appendicitis in pregnancy. Br J Surg. 2012;99:1470-1478.

11. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol. 2002;14:375-379.

12. Ávila-Silva MR, Zavala-Castillo JC, Coronel-Cruz FM. Colecistectomía laparoscópica en pacientes embarazadas: experiencia del Hospital General de México 2008-2012. Ginecol Obstet Mex. 2014;82:509-517.

13. O’Rourke N, Kodali BS. Laparoscopic surgery during pregnancy. Curr Opin Anaesthesiol. 2006;19:254-259.

14. Reitman E, Flood P. Anaesthetic considerations for non-obstetric surgery during pregnancy. Br J Anaesth. 2011;107 Suppl 1:i72-i78.

15. Van De Velde M, De Buck F. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anestesiol. 2007;73:235-240.

16. Muñoz-Cuevas JH, De la Cruz-Paz MA, Olivero-Vásquez YI. Propofol ayer y hoy. Rev Mex Anest. 2005;28:148-158.

17. Navarrete-Zuazo VM. La alternativa de la ketamina. Rev Mex Anest. 2014;37:243-250.

18. Dransart C, Putz L, Marotta ML, Dubois PE. Deep neuromuscular blockade improves surgical conditions during gynecological laparoscopy. Disponible en: http://dx.doi.org/10.5772/64934

19. Nápoles-Méndez D. Los tocolíticos en el parto pretérmino: un dilema actual. MEDISAN. 2013;17:5062-5078.