Investigacion en enfermeria imagen y desarrollo

PARANINFO DIGITAL 2015;22:299

Sin Título

Modalidad de presentación: comunicación digital

REF.: 299d

Actualización sobre la actuación de la matrona ante un embolismo de líquido amniótico para disminuir la morbimortalidad materna y fetal
Patricia Gilart Cantizano, Rocío Palomo Gómez, Lorena Corcuera Ortiz de Guzmán
Hospital Quirón Campo de Gibraltar (SAS), Cádiz y Servicio Extremeño de Salud, España

Rev Paraninfo digital, 2015: 22

La embolia de líquido amniótico es una de las emergencias con peores resultados obstétricos, con una incidencia de 1/40.000 partos aproximadamente y una tasa de mortalidad muy elevada que oscila entre el 20 y el 60%. Los criterios diagnósticos de embolia de líquido amniótico fueron descritos por Steiner y Lushbaugh en 1941 y fueron actualizados por Clark y col. en el año 1995. El embolismo de líquido amniótico toma como criterios clínicos de diagnóstico: Hipotensión aguda o paro cardíaco; Insuficiencia respiratoria aguda; Coagulopatía (consumo intravascular, fibrinólisis o hemorragia clínica grave en ausencia de otras explicaciones) [seguir leyendo].

Bibliografía

1. Clark, S. L Embolia de líquido amniótico. Obstet Gynecol. 2014;123:337-48
2. Steiner PE, Luschbaugh CC. Maternal pulmonary embolism by amniotic fluid. JAMA 1941; 117: 1245-54, 1340-5.
3. Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. Amniotic fluid embolism: analysis of the national registry. Am J Obstet Gynecol 1995; 172: 1158-69.
4. Clark SL, Hankins GDV, Dudley DA, Dildy GA, Porter TF. Amniotic fluid embolism: analysis of the national registry. Am J Obstet Gynecol 1995;172:1158ï¿½67.
5. Clark SL, Pavlova Z, Horenstein J, Phelan JP. Squamous cells in the maternal pulmonary circulation. Am J Obstet Gynecol 1986;154:104ï¿½6.
6. Towell ME. Fetal acid-base physiology and intrauterine asphyxia. In: Goodwin JW, Godden JO, Chance GW, editors. Perinatal medicine. Baltimore (MD): Williams &Wilkins; 1976. p.200.
7. Clark SL, Cotton DB, Gonik B, Greenspoon J, Phelan JP. Central hemodynamic alterations in amniotic fluid embolism. Am J Obstet Gynecol 1988;158:1124ï¿½6.
8. Clark SL, Montz FJ, Phelan JP. Hemodynamic alterations in amniotic fluid embolism: a reappraisal. Am J Obstet Gynecol 1985;151:617ï¿½21.
9. Steven L.Clark, MD. Embolia de líquido amniótico. Obstet Gynecol 2014;123:337-48
10. Morgan M. Amniotic fluid embolism. Anaesthesia 1979;34:20ï¿½32.
11. Högberg U, Joelsson I. Amniotic fluid embolism in Sweden. Gynecol Obstet Invest 1985;20:130ï¿½7.
12. Burrows A, Khoo SK. The amniotic fluid embolism syndrome; 10 yearsï¿½ experience at a major teaching hospital. Aust N Z J Obstet Gynaecol 1995;35:245ï¿½50.
13. Tuffnell DJ, Johnson H. Amniotic fluid embolism: the UK registry. Hosp Med 2000;61:532ï¿½4.
14. Gilbert WM, Danielsen B. Amniotic fluid embolism: decreased mortality in a population-based study. Obstet Gynecol 1999;93:973ï¿½7.
15. Samuelsson E, Hellgren M, Högberg U. Pregnancy-related deaths due to pulmonary embolism in Sweden. Acta Obstet Gynecol Scand 2007;86:435ï¿½43.
16. Kramer MS, Rouleau J, Baskett TF, Joseph KS; Maternal Health Study Group of the Canadian Perinatal Surveillance System. Amniotic fluid embolism and medical induction of labour: a retrospective population-based cohort study. Lancet 2006;368:1444ï¿½8.
17. Abenhaim HA, Azoulay L, Kramer MS, Leduc L. Incidence and risk factors of amniotic fluid embolisms: a population-based study on 3 million births in the United States. Am J Obstet Gynecol 2008;199:49.e1ï¿½8.
18. Knight M, Berg C, Brocklehurst P, Kramer M, Lewis G, Oats J, et al. Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations. BMC Pregnancy Childbirth 2012;12:7.
19. Kramer MS, Rouleau J, Liu S, Bartholomew S, Joseph KS; Maternal Health Study Group of the Canadian Perinatal Surveillance System. Amniotic fluid embolsim: incidence, risk factors, and impact on perinatal outcome. BJOG 2012;119:874ï¿½9.
20. Steill IG, Wells GA, DeMaio VJ, Spaite DW, Field BJ 3rd, Munkley DP, et al. Modifiable factors associated with improved cardiac arrest survival in a multicenter basic life support/defibrillation system: OPALS study phase I results. Ontario Prehospital Advanced Life Support. Ann Emerg Med 1999;33:44ï¿½50.
21. Pacheco LD, Saade GR, Costantine MM, Clark SL, Hankins GD. Massive transfusion protocols in obstetrics. Am J Perinatol 2013;30:1ï¿½4.
22. Leighton BL, Wall MH, Lockhart EM, Phillips LE, Zatta AJ. Use of recombinant factor VIIa in patients with amniotic fluid embolism: a systematic review of case reports. Anesthesiology 2011;115:1201ï¿½8.
23. Katz VJ, Balderston K, DeFreest M. Perimortem cesarean delivery: were our assumptions correct? Am J Obstet Gynecol 2005;192:1916ï¿½20.

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