Tromboelastografía en el manejo de la paciente obstétrica

[Thromboelastography in the management of the obstetric patient]
DOI: 10.37980/im.journal.revcog.20222119
Publicado
2022-12-06

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Autores/as

  • Osvaldo Reyes Coordinador de investigaciones – Maternidad del Hospital Santo Tomás; Miembro del Sistema Nacional de Investigadores de Panamá

Palabras clave:

tromboelastografía, hemorragia post parto, mortalidad materna

Keywords:

thromboelastography, postpartum hemorrhage, maternal mortality

Resumen

La mortalidad materna varía mucho a nivel mundial, siendo más alta en países en vías de desarrollo o en áreas rurales. Las medidas tomadas a nivel local y global que estén dirigidas a reducir esta brecha y la mortalidad materna como tal son de un valor incalculable, pero a pesar de contar con la tecnología y los medicamentos requeridos, su uso no se traduce en una reducción evidente en término de muertes. Una de las condiciones con mayor prevalencia es la hemorragia postparto, la cual ocupa el primer lugar en muchos países y se cita como una de las tres primeras causes a nivel mundial.

Hay muchas guías relacionadas con el manejo de la hemorragia postparto, pero en la mayoría se deja por fuera o se menciona poco la utilidad de una herramienta disponible y relativamente económica, como lo es la tromboelastografía. En este artículo discutiremos la misma, sus fortalezas y debilidades, así como el papel que puede tener la misma en el manejo de la paciente que se presenta con esta condición.


Abstract

Maternal mortality varies greatly worldwide, being higher in developing countries or in rural areas. Measures taken at the local and global level to reduce this gap and maternal mortality as such are invaluable, but despite the availability of the required technology and drugs, their use does not translate into a clear reduction in terms of deaths. One of the most prevalent conditions is postpartum hemorrhage, which ranks first in many countries and is cited as one of the top three causes worldwide.

There are many guidelines related to the management of postpartum hemorrhage, but most of them leave out or make little mention of the usefulness of an available and relatively inexpensive tool, thromboelastography. In this article we will discuss it, its strengths and weaknesses, as well as the role it can play in the management of the patient presenting with this condition.

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