Resuscitation of Obstetric Patient

Abstract

The number of cases of pregnant patients with cardiorespiratory arrest requiring resuscitation has increased worldwide, secondary to the main number of patients with high-risk pregnancies associated with chronic, especially cardiopulmonary, pathologies. The knowledge of the resuscitation algorithms by the health personnel responsible for the care of pregnant patients is mandatory, because due to different physiological and anatomical changes, there are particularities in the management and use of medications. In addition, a detailed description of the steps included in the resuscitation is necessary, where assessment of the airway, ventilation, circulation, and defibrillation determines a step in resuscitation. One of the determining and exclusive events in this type of patients is cesarea perimortem. That is why it includes a concrete description of the time and the indications for its realization. Finally, a list of medicines most used in resuscitation in pregnancy, with its dosage and safety range, is mentioned. The pregnant patient poses a challenge to resuscitation teams. This review refers to the recommendations for establishing "obstetric blue code" protocols at the institutional level.

Herramienta de emulación de sistemas dinámicos a través de internet

“…La implementación de esta aplicación debe realizarse dentro de un sistema operativo de tiempo real con la capacidad de conectarse con un dispositivo externo para realizar tareas de "Hardware-in-the-Loop"; para realizar esto se utilizó una herramienta de prototipado rápido de control (RCP, por sus siglas en inglés). El uso de RCP está enfocado principalmente a realizar tareas de implementación de estrategias de control sobre una planta física (Franco, Maya & Ramos, 2004;Franco, Jaramillo, Maya & Ramos, 2000).…”