Hipotensión bajo anestesia regional subaracnoidea en población no obstétrica
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López-Hernández, M. G., & Meléndez-Flórez, H. J. (2017). Hipotensión bajo anestesia regional subaracnoidea en población no obstétrica. Médicas UIS, 30(1), 73–78. https://doi.org/10.18273/revmed.v30n1-2017006

Resumen

la anestesia regional subaracnoidea es una técnica muy útil; sin embargo, su principial efecto secundario afecta el sistema cardiovascular. Los estudios en población no obstetrica son escasos; la variedad de comorbilidades y tipos de pacientes dificultan el diagnóstico y manejo. Objetivo: revisar la fisiopatología, enfatizar en factores de riesgo y actualizar el manejo de la hipotensión bajo anestesia subaracnoidea en pacientes no obstétricos. Metodología de Búsqueda: se realizó una búsqueda en las bases bibliográficas PubMed, Science Direct, EbscoHost, MEDLINE; se excluyeron aquellos artículos que incluían únicamente población obstétrica. 63 artículos cumplieron los criterios. Conclusiones: los factores de riesgo identificados fueron edad, estado físico previo, hipertensión y obesidad. Aunque no hay consenso en el manejo, identificar pacientes en riesgo permite la intervencion preventiva y tomar decisiones que disminuyan complicaciones mayores. Los líquidos intravenosos como co-carga mantienen vigencia. El uso de vasopresores profilácticos debe limitarse en pacientes con factores de riesgo. MÉD.UIS. 2017;30(1):73-8.

Palabras clave: Anestesia Raquídea. Hipotensión. Vasoconstrictores

https://doi.org/10.18273/revmed.v30n1-2017006
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