medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2015, Number 1

<< Back Next >>

An Med Asoc Med Hosp ABC 2015; 60 (1)

General anesthesia in the pregnant patient undergoing non-obstetric laparoscopic surgery

Vázquez OJ, Rojas ZEM, Cruz CG, Herrera CE, Gutiérrez GA, Pomposo EMA, Canseco CNF, Carrillo MNE

Language: Spanish
References: 20
Page: 6-11
PDF size: 207.17 Kb.


ABSTRACT

Background: Laparoscopy has become the approach of choice in the pregnant patient; anesthesia should be customized for this period. Objective: To analyze the anesthetic management of pregnant women undergoing nonobstetric laparoscopic surgery at the ABC Medical Center. Material and methods: An ONBASE search was conducted of people diagnosed with pregnancy undergoing a nonobstetric laparoscopic procedure at the ABC Medical Center from January 1, 2004 to June 30, 2013; 17 individuals were found. The admission, pre-anesthetic and trans-anesthetic notes were reviewed to find out about the different techniques provided. Results: Of the 17 patients, one was excluded because her procedure was non-laparoscopic. The women’s average age was 32 years old, and their mean gestational age, 17 weeks; the most frequent surgery was an appendectomy, in eight individuals (50%), the anesthetic technique was general anesthesia in 14 people and total intravenous in two. The most commonly used anesthetic drugs were propofol and fentanyl, in 100%, with cisatracurium, in 43%. Rapid sequence intubation was performed in six patients only. Conclusions: The prevalence of surgery during pregnancy, as well as drug use are consistent with the literature.


REFERENCES

  1. Walton ON. Anaesthesia for non-obstetric surgery during pregnancy. Contin Educ Anaesth Crit Care Pain. 2006; 6 (2): 83-85.

  2. Crowhurst JA. Anaesthesia for non-obstetric surgery during pregnancy. Acta Anaesthesiol Belg. 2002; 53: 295-297.

  3. Steinbrook RA. Hemodynamics during laparoscopic surgery in pregnancy. Anesth Analg. 2001; 93: 1570-1571.

  4. Páez-Serralde F. Manejo anestésico en cirugía laparoscópica en paciente obstétrica. Rev Mex de Anest, Anestesiología en Ginecoobstetricia. 2011; 34 (1): S108-S111.

  5. Goodman S. Anaesthesia for non obstetric surgery in the pregnant patient. Semin Perinatol. 2002; 26: 136-145.

  6. Van de Velde M. Anesthesia for non-obstetric surgery in the pregnant patient. Minerva Anestesiol. 2007; 73 (4): 235-240.

  7. Mhuireachtaigh RN, O’Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. Review article. Journal of Clinical Anesthesia. 2006; 18: 60-66.

  8. Bhavani-Shankar K. Arterial to end-tidal carbon dioxide pressure difference during laparoscopic surgery in pregnancy. Anesthesiology. 2000; 93 (2): 370-373.

  9. Martínez TR et al. Apendicitis durante el embarazo. Manejo anestésico y experiencia en el Centro Médico ABC. Anales Médicos de la Sociedad Médica del Centro Médico ABC. 2005; 50 (1): 5-9.

  10. Larrain de la C. Consideraciones para el uso de la laparoscopia durante el embarazo. Revista Chilena de Obstetricia y Ginecología. 2007; 72 (4): 247-257.

  11. Vega CR. Cirugía laparoscópica y embarazo. Revista Mexicana de Cirugía Endoscópica. 2004; 5 (2): 80-89.

  12. De Perrot M. Laparoscopic appendectomy during pregnancy. Surg Laparosc Endosc Percutan Tech. 2000; 10: 368-371.

  13. Armstrong S. Cardiac index in term pregnant women in the sitting, lateral, and supine positions: an observational, crossover study. Anesth Analg. 2011; 113 (2): 318-322.

  14. Shepard TH. Catalog of teratogenic agents. 7th ed. Baltimore: The Johns Hopkins University Press; 1992.

  15. McGowan FX Jr. Anesthetic related neurotoxicity in the developing infant: mice, rats, monkeys, and, possibly, humans. Anesth Analg. 2008; 106: 1599-1602.

  16. Kuczkowski KM. The safety of anaesthetics in pregnant women. Expert Opin Drug Saf. 2006; 5 (2): 251-264.

  17. Cohen SE. Non obstetric surgery during pregnancy. Chestnut DH, editor. Obstetric anesthesia: principles and practice. 2nd ed. St Louis (Mo) MOSBY; 1999. p. 279.

  18. Cheek TG. Anesthesia for nonobstetric surgery: maternal and fetal considerations. Clin Obstet Gynecol. 2009; 52 (4): 535-545.

  19. Wahba RW, Béïque F, Kleiman SJ. Cardiopulmonary function and laparoscopic chlolecystectomy. Can J Anaesth. 1995; 42: 51-63.

  20. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol. 2002; 14: 375-379.




2020     |     www.medigraphic.com