Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.

This literature review aimed to determine effective therapeutic treatments as of 2022 to counteract the hypotensive effect caused by regional anesthesia in pregnant women undergoing cesarean section during intraoperative period. Currently, regional anesthesia is the method of choice for cesarean sec...

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Fecha de publicación:: 2023

Institución:: Pontificia Universidad Javeriana Cali

Repositorio:: Vitela

Idioma:: spa

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network_acronym_str	Vitela2
network_name_str	Vitela
repository_id_str
spelling	Salamanca-Martínez, IsabellaÁlvarez, ValentinaRiascos-Segura, Ana CristinaDiaz-Vesga, Magda Carolina2023-03-302023-10-11T04:35:20Z2023-10-11T04:35:20Zhttps://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1307https://vitela.javerianacali.edu.co/handle/11522/523This literature review aimed to determine effective therapeutic treatments as of 2022 to counteract the hypotensive effect caused by regional anesthesia in pregnant women undergoing cesarean section during intraoperative period. Currently, regional anesthesia is the method of choice for cesarean sections due to the safety it provides for both the mother and the fetus. Therefore, scientific evidence on the use of colloids, crystalloids, vasopressors, and physical measures to treat hypotension was analyzed. A literature search was conducted on the main databases, and 25 articles were reviewed. The results showed that arterial hypotension is the main complication of regional anesthesia, and the most appropriate treatment so far is a combination of different strategies such as volume management, use of vasopressors, and certain physical measures. It is also relevant to detect risk factors associated with hypotension in maternal evaluation during the pre-anesthetic assessment.Esta revisión de tema tuvo como objetivo determinar cuáles son los tratamientos terapéuticos hasta el 2022, eficaces para contrarrestar el efecto hipotensor que causa la anestesia regional, en embarazadas que van a ser sometidas a cesárea durante el periodo intra quirúrgico. En la actualidad, la anestesia regional es el método de elección para cesáreas por la seguridad qué brinda tanto para la madre como para el feto. Por lo tanto, se analizó la evidencia científicasobre uso de coloides,cristaloides, vasopresores y medidas físicas como tratamiento de la hipotensión. Se realizó una búsqueda bibliográfica en las principales bases de datos, de la cual se revisaron 25 artículos. En los resultados obtenidos se evidenció que la hipotensión arterial es la principal complicación en el uso de la anestesia regional y hasta el momento el tratamiento más adecuado es la combinación de diferentes estrategias como el manejo del volumen, el uso de vasopresores y ciertas medidas físicas. Además, es relevante la detección durante la evaluación preanestésica de factores de riesgo en las maternas asociados con la hipotensión.application/pdfspaPontificia Universidad Javeriana Calihttps://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1307/1145Derechos de autor 2023 Salutem Scientia Spiritushttps://creativecommons.org/licenses/by-nc-nd/4.0Salutem Scientia Spiritus; Vol. 9 No. 1 (2023): Revista Salutem Scientia Spiritus; 52-58Salutem Scientia Spiritus; Vol. 9 Núm. 1 (2023): Revista Salutem Scientia Spiritus; 52-582463-1426Anestesia regional o epiduralCesáreaHipotensión intraquirúrgicaEmbarazoRegional anesthesia,Caesarean sectionHypotensionComplicationsPregnancyCurrent therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.Estrategias terapéuticas actuales para el manejo de la hipotensión intraquirúrgica asociada al uso de anestesia regional en pacientes embarazadas sometidas a cesáreainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisión de la literatura11522/523oai:vitela.javerianacali.edu.co:11522/5232024-06-25 05:12:43.562metadata.onlyhttps://vitela.javerianacali.edu.coRepositorio Vitelavitela.mail@javerianacali.edu.co
dc.title.en-US.fl_str_mv	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
dc.title.es-ES.fl_str_mv	Estrategias terapéuticas actuales para el manejo de la hipotensión intraquirúrgica asociada al uso de anestesia regional en pacientes embarazadas sometidas a cesárea
title	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
spellingShingle	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section. Salamanca-Martínez, Isabella Anestesia regional o epidural Cesárea Hipotensión intraquirúrgica Embarazo Regional anesthesia, Caesarean section Hypotension Complications Pregnancy
title_short	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
title_full	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
title_fullStr	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
title_full_unstemmed	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
title_sort	Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.
dc.creator.none.fl_str_mv	Salamanca-Martínez, Isabella Álvarez, Valentina Riascos-Segura, Ana Cristina Diaz-Vesga, Magda Carolina
author	Salamanca-Martínez, Isabella
author_facet	Salamanca-Martínez, Isabella Álvarez, Valentina Riascos-Segura, Ana Cristina Diaz-Vesga, Magda Carolina
author_role	author
author2	Álvarez, Valentina Riascos-Segura, Ana Cristina Diaz-Vesga, Magda Carolina
author2_role	author author author
dc.subject.es-ES.fl_str_mv	Anestesia regional o epidural Cesárea Hipotensión intraquirúrgica Embarazo
topic	Anestesia regional o epidural Cesárea Hipotensión intraquirúrgica Embarazo Regional anesthesia, Caesarean section Hypotension Complications Pregnancy
dc.subject.en-US.fl_str_mv	Regional anesthesia, Caesarean section Hypotension Complications Pregnancy
description	This literature review aimed to determine effective therapeutic treatments as of 2022 to counteract the hypotensive effect caused by regional anesthesia in pregnant women undergoing cesarean section during intraoperative period. Currently, regional anesthesia is the method of choice for cesarean sections due to the safety it provides for both the mother and the fetus. Therefore, scientific evidence on the use of colloids, crystalloids, vasopressors, and physical measures to treat hypotension was analyzed. A literature search was conducted on the main databases, and 25 articles were reviewed. The results showed that arterial hypotension is the main complication of regional anesthesia, and the most appropriate treatment so far is a combination of different strategies such as volume management, use of vasopressors, and certain physical measures. It is also relevant to detect risk factors associated with hypotension in maternal evaluation during the pre-anesthetic assessment.
publishDate	2023
dc.date.accessioned.none.fl_str_mv	2023-10-11T04:35:20Z
dc.date.available.none.fl_str_mv	2023-10-11T04:35:20Z
dc.date.none.fl_str_mv	2023-03-30
dc.type.none.fl_str_mv	info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion
dc.type.es-ES.fl_str_mv	Revisión de la literatura
status_str	publishedVersion
dc.identifier.none.fl_str_mv	https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1307
dc.identifier.uri.none.fl_str_mv	https://vitela.javerianacali.edu.co/handle/11522/523
url	https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1307 https://vitela.javerianacali.edu.co/handle/11522/523
dc.language.none.fl_str_mv	spa
language	spa
dc.relation.none.fl_str_mv	https://revistas.javerianacali.edu.co/index.php/salutemscientiaspiritus/article/view/1307/1145
dc.rights.es-ES.fl_str_mv	Derechos de autor 2023 Salutem Scientia Spiritus https://creativecommons.org/licenses/by-nc-nd/4.0
rights_invalid_str_mv	Derechos de autor 2023 Salutem Scientia Spiritus https://creativecommons.org/licenses/by-nc-nd/4.0
dc.format.none.fl_str_mv	application/pdf
dc.publisher.es-ES.fl_str_mv	Pontificia Universidad Javeriana Cali
dc.source.en-US.fl_str_mv	Salutem Scientia Spiritus; Vol. 9 No. 1 (2023): Revista Salutem Scientia Spiritus; 52-58
dc.source.es-ES.fl_str_mv	Salutem Scientia Spiritus; Vol. 9 Núm. 1 (2023): Revista Salutem Scientia Spiritus; 52-58
dc.source.none.fl_str_mv	2463-1426
institution	Pontificia Universidad Javeriana Cali
repository.name.fl_str_mv	Repositorio Vitela
repository.mail.fl_str_mv	vitela.mail@javerianacali.edu.co
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Current therapeutic strategies for the management of intraoperative hypotension associated with the use of regional anesthesia in pregnant patients undergoing cesarean section.

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