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Copyright of Revista CONAMED is the property of Comision Nacional de Arbitraje Medico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Pre-eclampsia affects maternal mortality worldwide, this has led to investigate the effects of poor placental adaptation and its systemic and fetal effects from the first quarter and try to predict events that can use existing management tools of maternal and fetal hemodynamic changes. Here is a case in point of these results is exposed. Case report: Patient 33 years old, Gesta 4, 3 abortions, she consults with 20 weeks pregnancy with blood pressure of 113/79 mmHg and asymptomatic. hemodynamic evaluation is performed with niccomo team cardiac index of 1.1 and peripheral vascular resistance of 5291 dyne/cm5 to report healthy fetus, about 25 weeks inotropic starts (digoxin 0.25 mg every 24 hours) to optimize cardiac output and manages to recover a normal hemodynamic curve (cardiac index > 3.5 L/min and vascular resistance < 1500 din/cm5). However a week 29 the fetus develops an early intrauterine growth restriction type IV, abdominal pregnancy is terminated via a single fetus, female 900 g, Apgar 6/7, height 32 cm, required mechanical ventilation support 24 is obtained hours later with weight gain was discharged and stable, as the patient. Discussion: The pathophysiology of severe intrauterine growth restriction and preeclampsia is closely related to the imbalance between angiogenic and antiangiogenic proteins systemically, these mechanisms have been described by our group observing a pattern that is characterized by high vascular resistance and low cardiac output, and has shown improvement with this pattern optimization based inotropic third quarter. Conclusions: Hemodynamic measurement is a useful tool for predicting adverse perinatal outcomes and useful for the administration of drugs that improve maternal hemodynamics so targeted and individualized more research supporting the results are required. [ABSTRACT FROM AUTHOR]

Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)