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Revista Médicas UIS
Article . 2017 . Peer-reviewed
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Hipotensión bajo anestesia regional subaracnoidea en población no obstétrica

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Authors: López-Hernández, María Gabriela; Meléndez-Flórez, Héctor Julio;

Hipotensión bajo anestesia regional subaracnoidea en población no obstétrica

Abstract

espanolla anestesia regional subaracnoidea es una tecnica muy util; sin embargo, su principial efecto secundario afecta el sistema cardiovascular. Los estudios en poblacion no obstetrica son escasos; la variedad de comorbilidades y tipos de pacientes dificultan el diagnostico y manejo. Objetivo: revisar la fisiopatologia, enfatizar en factores de riesgo y actualizar el manejo de la hipotension bajo anestesia subaracnoidea en pacientes no obstetricos. Metodologia de Busqueda: se realizo una busqueda en las bases bibliograficas PubMed, Science Direct, EbscoHost, MEDLINE; se excluyeron aquellos articulos que incluian unicamente poblacion obstetrica. 63 articulos cumplieron los criterios. Conclusiones: los factores de riesgo identificados fueron edad, estado fisico previo, hipertension 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 liquidos intravenosos como co-carga mantienen vigencia. El uso de vasopresores profilacticos debe limitarse en pacientes con factores de riesgo. MED.UIS. 2017;30(1):73-8.Palabras clave: Anestesia Raquidea. Hipotension. Vasoconstrictores Englishregional subarachnoid anesthesia is a very useful technique. however, the leading side effect affects the cardiovascular system. Few studies regarding non-obstetric population are published. Comorbidities and the variety of patients make the diagnosis and management difficult to establish. Objective: to review physiopathology, and emphasize risk factors and management of hypotension under regional spinal anesthesia. Searching Methodology: literature search was performed using PubMed, Science Direct, EbscoHost and MEDLINE; those exclusively including obstetric population were excluded. 63 articles matched the criteria. Conclusions: the risk factors that were identified were age, physical status, hypertension and obesity. Although there is no consensus in the management protocol, identifying these patients at risk allows a preventive intervention and the taking of measures that avoid major complications. Intravenous fluids as co-loading still remain valid; vasopressors should be limited to patients at risk. MED.UIS. 2017;30(1):73-8.Keywords: Anesthesia, Spinal. Hypotension. Vasoconstrictor Agents.

Keywords

Vasoconstrictores., Spinal. Hypotension. Vasoconstrictor Agents., Anesthesia, Anestesia Raquídea, Hipotensión

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
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