covid
Buscar en
Revista Colombiana de Anestesiología
Toda la web
Inicio Revista Colombiana de Anestesiología Cirugía no obstétrica durante el embarazo
Información de la revista
Vol. 39. Núm. 3.
Páginas 360-373 (agosto - octubre 2011)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 39. Núm. 3.
Páginas 360-373 (agosto - octubre 2011)
ARTÍCULO DE REVISIÓN
Open Access
Cirugía no obstétrica durante el embarazo
Nonobstetric Surgery During Pregnancy
Visitas
5834
Nury Isabel Socha García
,***,
Autor para correspondencia
nurysocha8@gmail.com

Calle 10D No. 25–97. Apto 101. Torres Claras. Barrio El Poblado, Medellín, Colombia.
, Juan Camilo Gómez Morant**, Erica Holguín González**
* Médica anestesióloga, Universidad de Antioquia. Clínica Universitaria Bolivariana, Unidad Materno Infantil. Docente de Anestesia Obstétrica, Universidad Pontificia Bolivariana, Medellín, Colombia. Miembro del Comité de Anestesia Obstétrica de la Sociedad Antioqueña de Anestesiología.
** Médico anestesiólogo, Universidad Pontifica Bolivariana. Clínica Universitaria Bolivariana, Unidad Materno Infantil. Docente de Anestesia Obstétrica, Universidad Pontificia Bolivariana. Medellín, Colombia.
*** Médica anestesióloga, Universidad de Antioquia. Clínica del Prado. Docente de cátedra en la Universidad de Antioquia, Medellín, Colombia. Miembro del Comité de Anestesia Obstétrica de la Sociedad Antioqueña de Anestesiología. Medellín, Colombia.
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
RESUMEN
Introducción.

La incidencia de cirugía no obstétrica durante el embarazo es del 1,5 % al 2 %. Actualmente, el anestesiólogo se encuentra ante nuevas técnicas diagnósticas y terapéuticas que generan muchos interrogantes tanto en las pacientes, como en el grupo tratante.

Objetivo.

Abordar los aspectos más importantes para el anestesiólogo al tratar a una paciente embarazada que presenta comorbilidad, y cuyo manejo es quirúrgico.

Metodología.

Revisión no sistemática de la literatura indexada y referenciada en PUBMED, desde el año 2001 y hasta la fecha.

Conclusiones.

La evaluación y el abordaje de la paciente embarazada que será sometida a una cirugía no obstétrica serán hechos por un grupo interdisciplinario, para garantizar el bienestar de la madre y del feto.

Palabras clave::
Embarazo
Comorbilidad
Incidencia
Parto. (Fuente: DeCS, BIREME)
SUMMARY
Introduction:

The incidence of non-obstetric surgery during pregnancy is from 1.5 % to 2.0 %. Currently the anesthesiologist faces new diagnostic techniques and therapeutics procedures which generate many issues both to patients as well as the medical personnel responsible.

Objective.

To discuss the most important aspects for the anesthesiologist when caring for a pregnant patient with comorbidities that requires surgical management.

Methodology.

Nonsystematic review of of the indexed literature available at PUBMED from year 2001 through 2011.

Conclusions.

The assessment and approach to a pregnant patient that will be subject to a nonobstetric surgery should be made by an multidisciplinary group to guarantee the well-being of the mother and fetus.

Key Words:
Pregnancy
Comorbidity
Incidence
Parturition. (Source: MeSH, NLM)
El Texto completo está disponible en PDF
REFERENCES
[1.]
K.M. Kuczkowski.
Nonobstetric surgery during pregnancy: what are the risks of anesthesia?.
Obstet Gynecol surv, 59 (2004), pp. 52-56
[2.]
R. Ni Mhuireachtaigh, D.A. O'Gorman.
Anesthesia in pregnant patients for nonobstetric surgery.
J Clin Anesth, 18 (2006), pp. 60-66
[3.]
R.I. Mazze, B. Kallen.
Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases.
Am J Obstet Gynecol, 161 (1989), pp. 1178
[4.]
S. Manley, G. de Kelaita.
Preoperative pregnancy testing in ambulatory surgery. Incidence and impact of positive results.
Anesthesiology, 83 (1995), pp. 690-693
[5.]
M. Van de Velde.
Nonobstetric surgery during pregnancy.
Obsteric Anesthesia: Principle and Practice, pp. 337-358
[6.]
M. Van De Velde, F. De Buck.
Anesthesia for non-obstetric surgery in the pregnant patient.
Minerva Anesthesiol, 73 (2007), pp. 235-240
[7.]
M.A. Rosen.
Management of anesthesia for the pregnant surgical patient.
Anesthesiology, 91 (1999), pp. 1159-1163
[8.]
R. Mazze, A.I. Wilson, S.A. Rice.
Reproduction and fetal development rats exposed to nitrous oxide.
Teratology, 30 (1984), pp. 259-265
[9.]
R. Sanders, J. Weimann, M. Maze.
Biologic effects of nitrous oxide.
Anesthesiology, 109 (2008), pp. 707-722
[10.]
P. Shiono, J. Millis.
Oral clefts and diazepam use during pregnancy.
N Engl J Med, 311 (1984), pp. 919-920
[11.]
L.V. Martin, A. Jurand.
The absence of teratogenic effects of some analgesics used in Anaesthesia.
Anaesthesia, 47 (1992), pp. 473-476
[12.]
J. Guay, Y. Grenier.
Clinical pharmacokinetics of neuromuscular relaxants in pregnancy.
Clin Pharmacokinet, 43 (1998), pp. 483
[13.]
R.B. Clark, M.A. Brown.
Neostigmine, atropine and glycopyrrolate: does neostigmine cross placenta?.
Anesthesiology, 84 (1996), pp. 450-452
[14.]
K. Stange, M. Halldin.
Hipothermia in pregnancy.
Anesthesiology, 56 (1983), pp. 460-461
[15.]
B. Newman, A.M. Larn.
Induced hypotension for clipping of a cerebral aneurysm during pregnancy.
Anesth Analg, 65 (1986), pp. 675-678
[16.]
R. Stricklad, W. Oliver.
Anesthesia, cardiopulmonary bypass, and the pregnant patient.
Mayo Clin Proc, 66 (1991), pp. 411-429
[17.]
N. Jarufe, A. Soza.
Successful liver transplantation and delivery in a woman with fulminant hepatic failure occurring during the second trimester of pregnancy.
[18.]
J.R. Kamban, R.E. Handte.
The effect of normal and preeclamptic pregnancies on the oxyhemonoglobin dissociation curve.
Anesthesiology, 65 (1986), pp. 426-427
[19.]
C.C. Kilpatric, C. Puig, L. Chohan.
Intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy: a practice survey.
South Med J, 103 (2010), pp. 212-215
[20.]
J.M. Kendrick, R. Neiger.
Intraoperative fetal monitoring during nonobstetric surgery.
J Perinatol, 20 (2000), pp. 276-277
[21.]
T.J. Horrigan, R. Villareal.
Are obstetrical personnel required for intraoperative fetal monitoring during nonobstetrical surgery?.
J Perinatol, 19 (1999), pp. 124-126
[22.]
ACOG committee opinion on Obstetric Practice.
Nonobstetric surgery in pregnancy. Number 474.
Obstet Gynecol, 117 (2011), pp. 420-421
[23.]
S. Goodman.
Aneshtesia for nonobstetric surgery in the pregnant patient.
Semin perinatal, 26 (2002), pp. 136-145
[24.]
R.I. Mazze, B. Kallen.
Appendectomy during pregnancy: a swedish registry study of 778 cases.
Obstet Gynecol, 77 (1991), pp. 835-840
[25.]
K.M. Groom.
Pharmacological prevention of prematurity.
Best Pract Res Clin Obstet Gynaecol, 21 (2007), pp. 843-856
[26.]
J.Y. Shim, Y.W. Park.
Multicentre, parallel group, randomised, single-blind study of safety and efficacy of atosiban versus ritodrine in the treatment of acute preterm labour in korean women.
[27.]
S.H. Cherry.
The pregnant patient: need for surgery unrelated to pregnancy.
Mt Sinai J Med, 58 (1991), pp. 81-84
[28.]
J. Hawkins.
Anesthesia-related maternal mortality.
Clin Obstet Gynecol, 46 (2003), pp. 679-687
[29.]
R. Russell.
Failed intubation in obstetrics: a self-fulfilling prophecy.
Int J Obstet Anesth, 16 (2006), pp. 1-3
[30.]
G. Samsoon, J. Young.
Difficult tracheal intubation: a retrospective study.
Anaesthesia, 55 (2000), pp. 690-694
[31.]
A. Duhl, M.J. Paidas.
Antithrombotic therapy and pregnancy: consensus report and recommendations for prevention and treatment of venous thromembolism and adverse pregnancy outcomes.
Am J Obstet Gynecol, 197 (2007),
[32.]
T. Check, E. Baird.
Anesthesia for nonobstetric surgery: maternal and fetal considerations.
Clin Obstet Gynecol, 52 (2009), pp. 535-545
[33.]
L. Chohan, C.C. Kilpatric.
Laparoscopy in pregnancy: a literature review.
Clin Obstet Gynecol, 52 (2009), pp. 557-569
[34.]
R.A. Steinbrook.
Anaesthesia, minimally invasive surgery and pregnancy.
Best Pract Res Clin Anaesthesiol, 16 (2002), pp. 131-143
[35.]
M.G. Corneille, T.M. Gallup.
The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy.
Am J Surg, 200 (2010), pp. 363-367
[36.]
M. Bisharah, T. Tulandi.
Laparoscopic surgery in pregnancy.
Clin Obstet Gynecol, 46 (2003), pp. 92-97
[37.]
H. Jackson, S. Grander.
Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review.
Surg Endosc, 22 (2008), pp. 1917-1927
[38.]
M.B. Reedy, B. Kallen.
Laparoscopy during pregnancy: a study of five fetal outcome parameters with use of the Swedish Health Registry.
Am J Obstet Gynecol, 177 (1997), pp. 673-679
[39.]
M.N. Bani Hani.
Laparoscopic surgery for symptomatic cholelithiasis during pregnancy.
Surg Laparosc Endosc Percutan Tech, 17 (2007), pp. 482-486
[40.]
N. O'Rourke, B.S. Kodali.
Laparoscopic surgery during pregnancy.
Curr Opin Anaesthesiol, 19 (2006), pp. 254-259
[41.]
K. Bhavani-Shankar, R.A. Steinbrook.
Arterial to endtidal carbon dioxide pressure difference during laparoscopic surgery in pregnancy.
Anesthesiology, 93 (2000), pp. 370-373
[42.]
N. Rojansky, A. Shushan, M. Fatum.
Laparoscopy versus laparotomy in pregnancy: a comparative study.
J Am Assoc Gynecol Laparosc, 9 (2002), pp. 108-110
[43.]
Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Guidelines Committee of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES).
Surg Endos, 22 (2008), pp. 849-861
[44.]
M. Fatum, N. Rojansky.
Laparoscopy surgery during pregnancy.
Obstet Gynecol Surv, 56 (2001), pp. 50-59
[45.]
R.A. Steinbrook, K. Bhavani-Shankar.
Hemodynamics during laparoscopic surgery in pregnancy.
Anesth Analg, 93 (2001), pp. 1570-1571
[46.]
Confidential Inquiry into Maternal and Child health, saving mother's lives.
The seventh repot of the confidential inquires into maternal death in the United Kingdom, CEMACH, (2007),
[47.]
L.J. Miller.
Use of electroconvulsive therapy during pregnancy.
Hosp community Psychiatry, 45 (1994), pp. 444-450
[48.]
M.G. Pinette, C. Santarpio.
Electroconvulsive therapy in pregnancy.
Obstet Gynecol, 110 (2007), pp. 465-466
[49.]
E.l. Anderson, I.M. Reti.
ECT in pregnancy: a review of literature from 1941 to 2007.
Psychosom Med, 71 (2009), pp. 235-242
[50.]
S.J. Menson.
Psychotropic medication during pregnancy and lactation.
Arch Gynecol Obstet, 277 (2008), pp. 1-13
Copyright © 2011. Revista Colombiana de Anestesiología
Descargar PDF
Opciones de artículo