Abstract

VIRUEZ SOTO, José Antonio et al. Ultrasound in critical care obstetrics. Rev. Asoc. Mex. Med. Crít. Ter. Intensiva [online]. 2015, vol.29, n.1, pp.32-37. ISSN 0187-8433.

Background: Ultrasound application is more important every day for monitorization and decision making in critical care. The objective is describing the experience in ultrasound application in the Critical Care Obstetrics Unit in Hospital General de México "Dr. Eduardo Liceaga" in patients with severe preeclampsia, haemorrhage and obstetrical sepsis during period January 01 2014-January 01 of 2015. Methods: Patients received treatment according to the "Clinic Practice Guides" (CPG) of "Secretaría de Salud de México" and received maternal-fetal ultrasound denominated "E-MATER Guide" designed by the authors. Results: 221 patients were included, 154 (70%) with severe preeclampsia, 47 (21%) with haemorrhage and 20 (9%) with obstetrical sepsis. There were only 4 deaths, 1 for severe preeclampsia and 3 for refractory septic shock, with a mortality of only 1.8%. Conclusions: The low mortality is related to the treatment according the CPG and the multiparametric monitorization adding maternal-fetal ultrasound that should be considered by the physician involved in the Critical Care Obstetrics attention. The application of simple ultrasound guides adding relevant data for treatment is suggested.

Keywords : Critical care; obstetrics; ultrasound.

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