medigraphic.com
SPANISH

Acta Médica Grupo Angeles

Órgano Oficial del Hospital Angeles Health System
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
    • Names and affiliations of the Editorial Board
  • Policies
  • About us
    • Data sharing policy
    • Stated aims and scope
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2008, Number 1

<< Back Next >>

Acta Med 2008; 6 (1)

Anaesthetic management for caesarean section in a patient with cryptogenic hepatitis; case report

Rojas JRA, Cepeda GA, Alvarado HH
Full text How to cite this article

Language: Spanish
References: 13
Page: 31-34
PDF size: 86.09 Kb.


Key words:

Hepatic cirrhosis, anesthetic handling, regional anesthesia.

ABSTRACT

One is feminine about 17 years of age with cryptogenic hepatic cirrhosis, with thrombocytopenia secondary to splenomegaly and pregnancy of 19.3 weeks of gestation, the patient was valued by the service of perinatology, hematology, and transplant of liver, anesthesiology in where stadific the degree of cirrhosis as well as the control of its pregnancy, and the bled risk of during the course of this one. The patient is put under Caesarean operation to the 31.1 weeks of gestation handling it with regional anesthesia without complications during the post anesthetic and transanesthesic.


REFERENCES

  1. Kam PCA, Thompson SA, Liew ACS. Thrombocytopenia in the parturient. Anaesthesia 2004; 59(3): 255-264.

  2. Hayward CPM, Sutton DM. Treatment outcomes in patients with adult thrombotic thrombocytopenic purpura-hemolytic uremia syndrome. Arch Intern Med 1994; 154: 975-980.

  3. Jeffrey AL, CPT, MC, FS, Lance DM. Thrombocytopenia in pregnancy. J Am Board Fam Pract 2002: 15: 290-297.

  4. Shehata N, Burrows R, Kelton JG. Gestational thrombocytopenia. Clin Obstet Gynecol 1999; 42: 327-334.

  5. Burrows RF, Kelton JG. Thrombocytopenia at delivery: a prospective survey of 6,715 deliveries. Am J Obstet Gynecol l990; 162: 731-734.

  6. Heneghan MA, Norris SM, O’Grady JG. Management and outcome of pregnancy in autoimmune hepatitis. Gut 2001; 48: 97-102.

  7. Whelton MJ, Shelok S. Pregnancy in patients with hepatic cirrhosis. Management and outcome. Lancet l968; 2(7576): 995-999.

  8. Steven MM, Buskley JD, Naskay IR. Pregnancy in chronic active hepatitis. QJ Med 1979; 48(192): 519-531.

  9. Schindler M, Gatt S. Thrombocytopenia and platelet functional defects in pre-eclampsia: implications for regional anesthesia. Anaesth Intensive Care 1990; 18(2): 169-174.

  10. Canto SL. Anestesia en la embarazada con patología agregada. Anestesia Obstétrica. Ed. Manual Moderno; 2001: 391-415.

  11. Letsky EA, Greaves M. Guidelines on the investigation and management of thrombocytopenia in pregnancy and neonatal alloimmune thrombocytopenia. Br J Haematol 1996; 95: 21-26.

  12. Gill PR, Lind T, Walker W. Platelet values during normal pregnancy. British Journal of Obstetric and Gynaecology 1985; 92: 480-485.

  13. Marrón PM. Anestesia para pacientes obstétricas de alto riesgo. En: Fiorelli-Alfaro complicaciones médicas del embarazo. McGraw-Hill Interamericana; 1996; 40: 341-362.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Med. 2008;6