ABSTRACT
La cirugía durante el embarazo no es infrecuente, se estima en un 2% las embarazadas que se someten a algún tipo de procedimiento. Los riesgos de la anestesia para la madre y el feto en el primer trimestre son ampliamente conocidos (teratogenicidad, riesgo de aborto, riesgo de aspiración ). Presentamos el caso de una paciente con embarazo gemelar, que en la novena semana de gestación sufrió un cuadro de oclusión de intestino delgado. Se realizó una anestesia epidural con el fin de minimizar esos riesgos. Se describe la evolución de la paciente y del feto(AU)
Surgery during pregnancy is not uncommon. It is estimated that some type of surgical procedure is performed in 2% of pregnancies. The risks of the anaesthesia for the mother and foetus in the first trimester are widely known (teratogenicity, aspiration risk ). We present the case of a patient in the 9th week of a twin pregnancy, who suffered from a clinical picture of small intestinal obstruction. Epidural anaesthesia was performed and the outcome of the patient and foetus is described(AU)
Subject(s)
Humans , Female , Pregnancy , Adult , Abdomen, Acute/complications , Abdomen, Acute/diagnosis , Abdomen, Acute/surgery , Pregnancy Trimester, First , Pregnancy, Twin , Pregnancy, Twin/physiology , Anesthesia, Epidural/instrumentation , Anesthesia, Epidural/methods , Anesthesia, Epidural , Abdomen, Acute/physiopathology , Abdomen, Acute , Abdomen, Acute/drug therapy , Anesthesia, Epidural/standards , Anesthesia, Epidural/trends , Laparotomy/methods , Laparotomy/trends , LaparotomyABSTRACT
Surgery during pregnancy is not uncommon. It is estimated that some type of surgical procedure is performed in 2% of pregnancies. The risks of the anaesthesia for the mother and foetus in the first trimester are widely known (teratogenicity, aspiration risk ). We present the case of a patient in the 9th week of a twin pregnancy, who suffered from a clinical picture of small intestinal obstruction. Epidural anaesthesia was performed and the outcome of the patient and foetus is described.
Subject(s)
Abdomen, Acute/surgery , Anesthesia, Obstetrical , Pregnancy Complications/surgery , Adult , Female , Humans , Pregnancy , Pregnancy Trimester, First , Pregnancy, TwinABSTRACT
Severe cardiovascular events, such as coronary vasospasm or acute myocardial infarction can occur during anaphylactic reactions. Although rare, this cause of ischaemic heart disease is known. We present the case of a patient who suffered an angina episode after an anaphylactic reaction due tot administering metamizole, with no significant lesions observed in the coronary catheterisation.
Subject(s)
Anaphylaxis/etiology , Coronary Vasospasm/chemically induced , Drug Hypersensitivity/etiology , Methimazole/adverse effects , Postoperative Complications/chemically induced , Aged, 80 and over , Anaphylaxis/physiopathology , Atrioventricular Block/chemically induced , Coronary Angiography , Humans , Hypotension/chemically induced , Male , Postoperative Complications/physiopathology , Prostatic Hyperplasia/surgery , Recovery Room , Syndrome , Transurethral Resection of ProstateABSTRACT
Durante las reacciones anafilácticas pueden ocurrir eventos cardiovasculares graves como el vasoespasmo coronario o el infarto agudo de miocardio. Esta causa de cardiopatía isquémica es conocida aunque poco frecuente. Presentamos el caso de un paciente que sufrió un episodio anginoso tras una reacción anafiláctica por la administración de metamizol, objetivándose en la coronariografía ausencia de lesiones significativas(AU)
Severe cardiovascular events, such as coronary vasospasm or acute myocardial infarction can occur during anaphylactic reactions. Although rare, this cause of ischaemic heart disease is known. We present the case of a patient who suffered an angina episode after an anaphylactic reaction due tot administering metamizole, with no significant lesions observed in the coronary catheterisation(AU)
Subject(s)
Humans , Male , Female , Acute Coronary Syndrome/chemically induced , Acute Coronary Syndrome/complications , Acute Coronary Syndrome/diagnosis , Dipyrone/administration & dosage , Dipyrone/adverse effects , Anaphylaxis/complications , Anaphylaxis/diagnosis , Anaphylaxis/drug therapy , Myocardial Ischemia/complications , Acute Coronary Syndrome/drug therapy , 26467/methods , Dipyrone/metabolism , Dipyrone/therapeutic useSubject(s)
Humans , Male , Adult , Factor VIIa/therapeutic use , Hemorrhage/drug therapy , Multiple Trauma/complications , Accidents, TrafficABSTRACT
Objetivo: conocer las características de los traumatismos craneoencefálicos (TCE) leves atendidos en nuestro Servicio de Urgencias y su evolución a corto plazo. Métodos: Se incluyeron pacientes mayores de 14 años que habían sufrido un TCE leve a los que se les realizó TC craneal y que permanecieron ingresados en observación en la Unidad de Corta Estancia (UCE). Análisis descriptivo y retrospectivo. Resultados: Un total de 172 pacientes fueron incluidos en el estudio. El 91% presentaban un Glasgow 15 y el 71% fueron varones. La pérdida de conocimiento breve (70%) y la amnesia (52%) fueron los dos hallazgos clínicos de alerta más frecuentes. La TC craneal fue normal en el 88% de los pacientes. Sólo 2 de los pacientes ingresados en observación necesitaron derivación a un centro neuroquirúrgico. Conclusiones: Es necesario la implementación de las vías clínicas para el abordaje de los TCE leves. Las UCE constituyen una ubicación adecuada para la atención del TCE leve en los hospitales que carecen de neurocirugía (AU)
Objetive: To know the characteristics of the minor head injury taken care in our emergency department and its short term evolution. Methods: Patients greater of 14 years included themselves than they had undergone a minor head injury to which cranial TC was made to them and that remained admitted in observation in the Short Stay Observation Unit (SOU). Descriptive and retrospective analysis. Results: A total of 172 patients was including in the study. 91% displayed a Glasgow 15 and 71% were men. Lost of brief consciousness (70%) and the amnesia (52%) was both the more frequent clinical findings of alert. The cranial TC was normal in 88% of the patients. Only 2 patients admitted in observation, needed derivation to a Neurosurgery Centre. Conclusions: The implementation of the clinical routes for the boarding of the minor head injury is necessary. The Short Stay Observation Unit constitute a location adapted for the attention for the minor TCE in hospitals that lack Neurosurgery (AU)
