Subject(s)
Humans , Female , Perioperative Period/methods , Perioperative Period , von Willebrand Diseases/complications , von Willebrand Diseases/diagnosis , von Willebrand Diseases/drug therapy , Abdomen/pathology , Abdomen/surgery , Abdomen , von Willebrand Diseases/surgery , von Willebrand Diseases , von Willebrand Disease, Type 2/complications , von Willebrand Disease, Type 2/diagnosis , von Willebrand Disease, Type 2/surgery , Anesthesia/methodsSubject(s)
Abdomen, Acute/surgery , Blood Loss, Surgical/prevention & control , Factor VIII/therapeutic use , Postoperative Hemorrhage/prevention & control , Premedication , Tranexamic Acid/therapeutic use , von Willebrand Disease, Type 2/drug therapy , von Willebrand Factor/therapeutic use , Emergencies , Factor VIII/analysis , Female , Heparin, Low-Molecular-Weight/therapeutic use , Humans , Middle Aged , Perioperative Care , Thromboembolism/prevention & control , Tranexamic Acid/administration & dosage , von Willebrand Factor/analysisABSTRACT
No disponible
Subject(s)
Humans , Male , Child, Preschool , Angelman Syndrome/diagnosis , Angelman Syndrome/drug therapy , Angelman Syndrome/epidemiology , Anesthesia, General/methods , Midazolam/therapeutic use , Atropine/therapeutic use , Angelman Syndrome/metabolism , Angelman Syndrome/surgery , Propofol/therapeutic use , Methylprednisolone/therapeutic use , gamma-Aminobutyric Acid/adverse effects , gamma-Aminobutyric Acid/metabolismSubject(s)
Alcoholism/complications , Cocaine-Related Disorders/complications , Eclampsia/etiology , Epilepsy, Tonic-Clonic/etiology , Obstetric Labor Complications/etiology , Pregnancy Complications , Propofol/therapeutic use , Adult , Cocaine/pharmacokinetics , Cocaine-Related Disorders/diagnosis , Eclampsia/drug therapy , Female , Humans , Infant, Low Birth Weight , Infant, Newborn , Male , Placenta/metabolism , PregnancyABSTRACT
No disponible
Subject(s)
Male , Female , Pregnancy , Infant, Newborn , Adult , Humans , Alcoholism/complications , Cocaine-Related Disorders/complications , Eclampsia/etiology , Obstetric Labor Complications/etiology , Pregnancy Complications , Propofol/therapeutic use , Epilepsy, Tonic-Clonic/etiology , Cocaine/pharmacokinetics , Cocaine-Related Disorders/diagnosis , Eclampsia/drug therapy , Infant, Low Birth Weight , Placenta/metabolismSubject(s)
Cesarean Section , Intubation, Intratracheal/instrumentation , Laryngeal Masks , Adult , Anesthesia, Epidural , Anesthesia, Obstetrical , Emergencies , Female , Fetal Distress/surgery , Humans , Intraoperative Complications , Intubation, Intratracheal/methods , Laryngeal Edema/complications , Obesity, Morbid/complications , Obstetric Labor Complications , Pregnancy , Pregnancy ComplicationsABSTRACT
OBJECTIVES: To describe the complications leading to admission of obstetric patients to intensive care or intensive postanesthetic care units. To describe the morbidity and mortality rates in such patients. MATERIAL AND METHODS: We carried out a descriptive study based on patient records of 23,246 births at the Hospital Materno Infantil belonging to the University Hospitals Virgen del Rocio in Sevilla, Spain, over a 3-year period (2001-2003). RESULTS: In the 23,246 births reviewed, 746 women (3%) required admission to the obstetric postoperative intensive care unit. The most common reasons were pre-eclampsia in 146 cases (19%), ectopic pregnancy in 97 cases (13%), and postpartum bleeding in 75 cases (10%). Among the 146 cases of preeclampsia treated in the unit, there were 8 cases of eclampsia and 7 of acute pulmonary edema. Two deaths (0.3%) occurred, due to eclampsia in 1 case and to pulmonary thromboembolism in the other. CONCLUSIONS: Obstetric patients are at risk of serious complications that require admission to intensive care or intensive postanesthetic care units, and we therefore emphasize the need to create such units at tertiary care hospitals.
Subject(s)
Postpartum Hemorrhage/epidemiology , Pregnancy Complications/epidemiology , Anesthesia Recovery Period , Female , Humans , Intensive Care Units , PregnancyABSTRACT
No disponible
Subject(s)
Female , Adult , Pregnancy , Humans , Cesarean Section , Intubation, Intratracheal/instrumentation , Laryngeal Masks , Anesthesia, Epidural , Anesthesia, Obstetrical , Emergencies , Fetal Distress/surgery , Intraoperative Complications , Intubation, Intratracheal/methods , Obstetric Labor Complications , Laryngeal Edema/complications , Obesity, Morbid/complications , Pregnancy ComplicationsABSTRACT
OBJETIVOS: Describir la patología susceptible de ingreso en unidades de reanimación o cuidados intensivos, en las pacientes obstétricas, así como su morbimortalidad. MATERIAL Y MÉTODOS: Realizamos un análisis descriptivo utilizando la base de datos del Hospital Materno Infantil de los Hospitales Universitarios Virgen del Rocío de Sevilla de los 23.246 partos realizados en un período de tres años (2001-2003). RESULTADOS: De los 23.246 partos revisados,746 pacientes (3%)necesitaron ingreso en la Unidad de Reanimación Obstétrica. Las causas más frecuentes fueron: preeclampsia con 146 casos (19%),gestaciones ectópicas con 97 casos (13%)y hemorragias postparto con 75 casos (10%).Entre las 146 preeclampsias atendidas en la unidad de reanimación obstétrica, hubo 8 casos de eclampsia y 7 de edema agudo de pulmón. Hubo dos casos de muerte (0,3%),una por eclampsia y otra por tromboembolismo pulmonar. CONCLUSIONES: Las pacientes obstétricas son susceptibles de sufrir patologías graves durante el período gestacional, que requieren su ingreso en unidades de cuida- dos intensivos o reanimación, por lo que destacamos la necesidad de potenciar su creación en hospitales de tercer nivel
OBJECTIVES: To describe the complications leading to admission of obstetric patients to intensive care or intensive post anesthetic care units. To describe the morbidity and mortality rates in such patients. MATERIAL AND METHODS: We carried out a descriptive study based on patient records of 23,246 births at the Hospital Materno Infantil belonging to the University Hospitals Virgen del Rocio in Sevilla, Spain, over a 3- year period (2001-2003). RESULTS: In the 23,246 births reviewed,746 women (3%)required admission to the obstetric postoperative intensive care unit. The most common reasons were pre- eclampsia in 146 cases (19%),ectopic pregnancy in 97 cases (13%),and postpartum bleeding in 75 cases (10%). Among the 146 cases of preeclampsia treated in the unit, there were 8 cases of eclampsia and 7 of acute pulmonary edema. Two deaths (0.3%) occurred, due to eclampsia in 1 case and to pulmonary thromboembolism in the other. CONCLUSIONS: Obstetric patients are at risk of serious complications that require admission to intensive care or intensive post anesthetic care units, and we therefore emphasize the need to create such units at tertiary care hospitals
Subject(s)
Female , Pregnancy , Humans , Postpartum Hemorrhage/epidemiology , Pregnancy Complications/epidemiology , Anesthesia Recovery Period , Intensive Care UnitsSubject(s)
Anesthesia , Myotonic Dystrophy , Female , Humans , Middle Aged , Monitoring, PhysiologicABSTRACT
OBJECTIVE: To measure and assess changes in plasma concentrations of alpha glutathione S-transferase (alpha-GST) during and after anesthesia with isoflurane, desflurane and propofol. PATIENTS AND METHODS: Study of 90 ASA I and II patients scheduled for lumbar back surgery under general anesthesia assigned randomly to one of three groups to receive anesthetic maintenance with isoflurane, desflurane or propofol. We measured plasma levels of alpha-GST, aspartate aminotransferase aspartate, alanine aminotransferase, alkaline phosphatase, pseudocholinesterase, gamma glutamyltransferase and total bilirubin at baseline and several times during and after surgery. RESULTS: Changes in plasma levels of alpha-GST were detected in all three groups, the tendency to increase reaching its peak with the sample taken at the end of anesthesia. The ranges considered normal were not exceeded in any of the patients studied. CONCLUSIONS: By measuring alpha-GST changes in plasma, we have detected signs of disturbance in hepatocellular integrity after anesthesia with all three maintenance agents used. However, the slight and transitory nature of the events confirms the scarce hepatotoxic potential of isoflurane, desflurane and propofol.