sábado, 26 de mayo de 2018

Trauma en obstetricia / Obstetric trauma

Mayo 26, 2018. No. 3092
Cirugía general urgente durante el embarazo
Emergency general surgery in pregnancy.
Trauma Surg Acute Care Open. 2017 Nov 2;2(1):e000125. doi: 10.1136/tsaco-2017-000125. eCollection 2017.
It is often that the acute care surgeon will be called on to evaluate the pregnant patient with abdominal pain. Most of the diagnostic and management decisions regarding pregnant patients will follow the usual tenets of surgery; however, there are important differences in the pregnant patient to be aware of to avoid pitfalls which can lead to complications for both mother and fetus. This review hopes to describe the most common emergencies facing the surgeon caring for the pregnant patient and the latest management options.
KEYWORDS: emergency general surgery; emergency surgery; pregnancy; pregnant
Indicadores clínicos de shock hemorrágico en el embarazo
Clinical indicators of hemorrhagic shock in pregnancy.
Trauma Surg Acute Care Open. 2017 Nov 7;2(1):e000112. doi: 10.1136/tsaco-2017-000112. eCollection 2017
BACKGROUND: Several hemodynamic parameters have been promoted to help establish a rapid diagnosis of hemorrhagic shock, but they have not been well validated in the pregnant population. In this study, we examined the association between three measures of shock and early blood transfusion requirements among pregnant trauma patients.  We found that patients with SI>1 were significantly more likely to receive blood transfusions compared with patients with SI<1 (OR 10.35; 95% CI 1.80 to 59.62), whereas ROPE>3 was not associated with blood transfusion compared with ROPE≤3 (OR 2.92; 95% CI 0.28 to 30.42). Furthermore, comparison of area under the ROC curve for SI (0.68) and ROPE (0.54) suggested that SI was more predictive than ROPE of blood transfusion. CONCLUSION: We found that an elevated SI was more closely associated with early blood product transfusion than SBP and ROPE in injured pregnant patients.
KEYWORDS: hemorrahgic shock; pregnancy; shock management
Congresos Médicos por Especialidades en todo Mundo
Medical Congresses by Specialties around the World
Congreso Nacional de Residentes de Anestesiología
7 al 9 de junio, 2018. Lima, Perú 
V Congreso Internacional de Vía Aérea, EVALa, México
Junio 7-9, 2018. Guadalajara. México
X Foro Internacional de Medicina del Dolor y Paliativa
Taller de Bloqueos guiados por Ultrasonido con el Dr. Philip Peng
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Ciudad de México, 7 al 9 de junio de 2018. 
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