[Complications and morbidity and mortality rates in a postanesthetic intensive care unit]. / Patología y morbimortalidad en una Unidad de Reanimación Obstétrica.

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.

Patología y morbimortalidad en una Unidad de Reanimación Obstétrica / Complications and morbidity and mortality rates in a postanesthetic intensive care unit

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

Utilidad de la monitorización con Bis en la distrofia mioitónica / Uselfuness of BIS monitoring in myotonic dystrophy

No disponible

[Myopericarditis in the 3d pregnancy trimester. Apropos of a case]. / Myopéricardite au troisième trimestre de la grossesse. A propos d'un cas.

The authors describe a case of myocardiopathy, during the third trimester of pregnancy, in a patient without any significant previous cardiac history nor associated obstetrical pathology. The clinical course was uneventful without sequelae. The clinical importance of peri-partum myocardiopathy, especially regarding myocardial sequelae, imposes a differential diagnosis and an analysis of the current state of this pathological process.