Resumen

RODRIGUEZ ALVAREZ, Maritza; OJEDA GONZALEZ, José; ALVAREZ FIGUEREDO, Zoraida  y  BARCO DIAZ, Vladimir. A Clinical Practice Guidelines for the Management of Obstetric Patients with Heart Disease: an Alternative for the Anesthesiologist’s Practice. Medisur [online]. 2011, vol.9, n.5, pp. 507-517. ISSN 1727-897X.

Background: The appropriate anesthetic management of the obstetric patient with heart disease, either congenital or acquired, poses a complex problem to the anesthesiologist, whose scientific knowledge and clinical experience are deeply challenged. Objective: To outline a clinical practice guidelines for the management of obstetric patients with heart disease. Methods: A qualitatively approached study with a descriptive and exploratory projection was conducted in such a way that the qualitative and quantitative methodologies were complemented. The following scientific methods were used: document analysis, observation, expert criteria and surveys to specialists. Results: The theoretical systematization allowed evidencing that the difficulties in managing obstetric patients with heart disease constitute a challenge to the practice of the anesthesiologist. In this sense, the specialist must master the anatomy and physiology of the obstetric patient and the particularities of each pregnancy-related heart disease and its anesthetic management. A clinical practice guidelines for the anesthetic management of the obstetric patient with heart disease was designed. It was developed from a needs assessment in the practice of the anesthesiology and resuscitation specialist. Conclusions: The appropriate implementation of the present guidelines should result in a more efficient anesthetic management of the obstetric patient with heart disease.

Palabras clave : practice guidelines as topic; obstetrics; cardiology; anesthesia and analgesia; pregnancy complications.