<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032024000300147</article-id>
<article-id pub-id-type="doi">10.35366/116165</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de uso de la tromboelastometría rotacional en el período agudo de la hemorragia obstétrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Usefulness of rotational tromboelastometry in the acute period of obstetric hemorrhage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Bautista]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Mexicano]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terán-Soto]]></surname>
<given-names><![CDATA[Juan Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Amarillas]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Alta Especialidad «Dr. Rafael Lucio» Centro Médico de la Salud ]]></institution>
<addr-line><![CDATA[Xalapa-Enríquez Veracruz]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Alta Especialidad «Dr. Rafael Lucio»  ]]></institution>
<addr-line><![CDATA[Xalapa-Enríquez Veracruz]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Xalapa «Dr. Luis F. Nachón»  ]]></institution>
<addr-line><![CDATA[Xalapa-Enríquez Veracruz]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital General ]]></institution>
<addr-line><![CDATA[La Paz Baja California]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>147</fpage>
<lpage>150</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032024000300147&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032024000300147&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032024000300147&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el monitoreo constante del estado de coagulación es crucial en situaciones de hemorragia obstétrica. La tromboelastometría rotacional es una técnica que evalúa la coagulación de manera rápida y precisa directamente en la cabecera del paciente, se emplea usualmente en terapia intensiva.  Objetivo:  evaluar la utilidad de la medición de la tromboelastometría rotacional en situaciones de hemorragia obstétrica en un período agudo.  Material y métodos:  estudio prospectivo en pacientes femeninos con hemorragia obstétrica en el período agudo. Se tomó una muestra de sangre venosa periférica en el período transanestésico de la hemorragia para realizar mediciones de tromboelastometría rotacional.  Resultados:  se incluyeron 21 pacientes con hemorragia obstétrica en el puerperio inmediato, el grupo de edad más común fue de 23 a 32 años. El 47.62% tenía sobrepeso y la mayoría tenía entre 37 y 38 semanas de gestación. Tres pacientes tenían enfermedad hipertensiva y 10 se sometieron a cesárea. Se detectaron cinco casos de hipofibrinogenemia. Estas pacientes mostraron puntuaciones bajas en los parámetros de EXTEM A5 menor a 35 mm y FIBTEM menor a 12 mm.  Conclusiones:  el uso de la tromboelastometría rotacional demostró ser útil en la evaluación de la coagulación en estas pacientes en el período agudo de la hemorragia (período transanestésico).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  constant monitoring of the coagulation status is crucial in situations of obstetric hemorrhage. Rotational thromboelastometry is a technique that quickly and accurately assesses coagulation right at the patient&#8217;s bedside and usually at intensive care units.  Objective:  to evaluate the usefulness of rotational thromboelastometry measurement in situations of obstetric hemorrhage in an acute period.  Material and methods:  prospective study in female patients with obstetric hemorrhage in the acute period. A peripheral venous blood sample was taken in the transanesthetic period of the hemorrhage for rotational thromboelastometry measurements.  Results:  21 patients with obstetric hemorrhage in the immediate postpartum period were included, the most common age group was 23 to 32 years. 47.62% were overweight and the majority were between 37 and 38 weeks gestation. Three patients had hypertensive disease and 10 underwent caesarean section. 5 cases of hypofibrinogenemia were detected. These patients showed low scores in the parameters of EXTEM A5 less than 35 mm and FIBTEM less than 12mm.  Conclusions:  the use of rotational thromboelastometry proved to be useful in the evaluation of coagulation in these patients in the acute period of bleeding (transanesthetic period).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemorragia]]></kwd>
<kwd lng="es"><![CDATA[coagulación sanguínea]]></kwd>
<kwd lng="es"><![CDATA[trastornos de la coagulación sanguínea]]></kwd>
<kwd lng="es"><![CDATA[fibrinógeno]]></kwd>
<kwd lng="en"><![CDATA[hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[blood coagulation]]></kwd>
<kwd lng="en"><![CDATA[blood coagulation disorders]]></kwd>
<kwd lng="en"><![CDATA[fibrinogen]]></kwd>
</kwd-group>
</article-meta>
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