Resucitación cardiopulmonar y cerebral en la embarazada. Al final del colapso materno

Autores/as

  • Mauricio Vasco-Ramírez

DOI:

https://doi.org/10.18597/rcog.50

Palabras clave:

embarazo, resucitación cardiopulmonar.

Resumen

Objetivo: proporcionar a los profesionales de la salud involucrados en el manejo de gestantes con complicaciones (obstetras, enfermeras, médicos generales y de emergencias, anestesiólogos, intensivistas, entre otros) los principios fundamentales de prevención y manejo de paro cardiorrespiratorio (PCR) en este grupo poblacional con el fin de mejorar los resultados del binomio madre-hijo.

Materiales y métodos: el documento se basa en una búsqueda de publicaciones en las bases de datos Medline, SciELO y Embase utilizando los términos "Cardiopulmonary Resuscitation, Pregnancy, Perimortem Cesarean, Maternal Cardiac Arrest, Cardiac arrest in pregnancy", y restringida a los siguientes tipos de publicación: "Meta Analysis, Systematic Reviews, Practice Guideline, Randomized Controlled Trial, Review, Case Report, Chapter, Editorial, Survey".

Resultados: se encontraron 78 títulos de los cuales se incluyeron 63; de estos, 22 corresponden a revisiones narrativas, 20 a reportes y series de caso, 8 a guías de práctica clínica, 5 a ensayos clínicos, 4 editoriales, 2 corresponden a revisiones sistemáticas o metaanálisis, 1 capítulo de libro y 1 encuesta o survey.

Conclusiones: el paro cardiaco en gestantes impone un reto al grupo interdisciplinario que lo enfrenta, por ser una entidad de baja frecuencia que se puede asociar a un alto grado de morbimortalidad materna y perinatal. Las principales acciones por realizar son: activación del código azul obstétrico con respuesta adecuada para realización de histerotomía de emergencia oportuna, compresiones torácicas de buena calidad, desviación manual uterina 15º a la izquierda cuando el útero grávido se palpe por encima del ombligo materno, manejo avanzado farmacológico y de vía aérea, y cuidado óptimo luego de la resucitación para la madre y el neonato.

Biografía del autor/a

Mauricio Vasco-Ramírez

Especialista en Anestesiología, Cuidados Intensivos y Reanimación, Universidad Pontificia Bolivariana, Medellín (Colombia). Coordinador del Comité de Anestesia Obstétrica, Sociedad Colombiana de Anestesiología y Reanimación (SCARE). Coordinador para América Latina de la Comisión de Anestesia Obstétrica, Confederación Latinoamericana de Sociedades de Anestesia (CLASA) y Federación Mundial de Sociedades de Anestesia (WFSA). Miembro Honorario de la Federación Colombiana de Obstetricia y Ginecología (FECOLSOG), Bogotá (Colombia)

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Cómo citar

1.
Vasco-Ramírez M. Resucitación cardiopulmonar y cerebral en la embarazada. Al final del colapso materno. Rev. colomb. obstet. ginecol. [Internet]. 30 de septiembre de 2014 [citado 29 de marzo de 2024];65(3):228-42. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/50

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Publicado

2014-09-30

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Educación Médica
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