<?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>1726-6718</journal-id>
<journal-title><![CDATA[Revista Cubana de Anestesiología y Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cuban de Anestesiol y Reanim]]></abbrev-journal-title>
<issn>1726-6718</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-67182023000100013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo anestésico en gestante con hígado graso agudo]]></article-title>
<article-title xml:lang="en"><![CDATA[Anesthetic management in pregnant women with acute fatty liver]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñón García]]></surname>
<given-names><![CDATA[Karell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida Esquivel]]></surname>
<given-names><![CDATA[Yudelky]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa Borrell]]></surname>
<given-names><![CDATA[Mayda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Provincial Docente Clínico Quirúrgico &#8220;Manuel Ascunce Domenech&#8221; ]]></institution>
<addr-line><![CDATA[ Camagüey]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>22</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182023000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182023000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182023000100013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El hígado graso agudo del embarazo es una complicación poco frecuente y potencialmente fatal.  Objetivo:  Describir el manejo anestésico en una gestante portadora de enfermedad del hígado graso agudo.  Presentación del caso:  Se trata de una gestante de 19 años de edad con antecedentes de hipotiroidismo posquirúrgico, anunciada para procedimiento quirúrgico de urgencia para realizarle cesárea por presentar hígado graso agudo del embarazo.  Conclusiones: El hígado graso agudo del embarazo obliga a realizar diagnóstico precoz y tratamiento agresivo. La atención médica interdisciplinaria y el tratamiento de soporte son decisivos en la evolución favorable. La cesárea es el método más seguro de la terminación del embarazo y se debe recomendar para reducir el riesgo de resultados adversos. La administración de anestesia general orotraqueal para la cesárea de urgencia garantiza un abordaje quirúrgico seguro y eficaz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The acute fatty liver of pregnancy is a rare and potentially fatal complication. Objective: To describe anesthetic management in a pregnant woman who carries acute fatty liver disease.  Case report:  This is a 19 year-old pregnant woman with a history of postoperative hypothyroidism, announced for emergency surgical procedure to perform cesarean section due to acute fatty liver of pregnancy.  Conclusions:  The acute fatty liver of pregnancy requires early diagnosis and aggressive treatment. Interdisciplinary medical care and supportive treatment are decisive in the favorable evolution. Caesarean section is the safest method of pregnancy termination and should be recommended to reduce the risk of adverse outcomes. The administration of orotracheal general anesthesia for emergency cesarean section ensures a safe and effective surgical approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hígado graso agudo del embarazo]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="es"><![CDATA[anestesia general]]></kwd>
<kwd lng="es"><![CDATA[coagulopatía]]></kwd>
<kwd lng="en"><![CDATA[acute fatty liver of pregnancy]]></kwd>
<kwd lng="en"><![CDATA[caesarean section]]></kwd>
<kwd lng="en"><![CDATA[general anesthesia]]></kwd>
<kwd lng="en"><![CDATA[coagulopatía]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lara Aldás]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Lozada Calle]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Evaluación de los factores de riesgo en pacientes con hepatopatías del embarazo atendidas en el Hospital de la Policía N°1 y Hospital de Especialidades José Carrasco Arteaga en el período 2017 a 2019]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Quito ]]></publisher-loc>
<publisher-name><![CDATA[Pontificia Universidad Católica del Ecuador]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zagaceta Torres]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Quiroz Leyva]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hígado graso agudo del embarazo en una gestante peruana: a propósito de un caso]]></article-title>
<source><![CDATA[Rev Gastroenterol Perú]]></source>
<year>2020</year>
<volume>40</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>80-4</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres Rodríguez]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Qué hay en común entre el hígado graso agudo del embarazo y la preeclampsia? Subdiagnóstico clínico de alta mortalidad]]></article-title>
<source><![CDATA[Rev Med]]></source>
<year>2019</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>61-72</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castelli]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Preeclampsia de presentación grave asociada a hígado graso agudo del embarazo]]></article-title>
<source><![CDATA[Rev Urug Cardiol]]></source>
<year>2022</year>
<volume>37</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hou]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Xiong]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Pu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Xiang]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Swansea criteria score in acute fatty liver of pregnancy]]></article-title>
<source><![CDATA[Rev Chinese Medical Journal]]></source>
<year>2022</year>
<volume>135</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>860-2</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cebolla-Gil]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Villalobos-Salguero]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Rabasa]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Herrero-Serrano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ortega-Marcilla]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Solanilla]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hígado graso agudo del embarazo: caso clínico con inicio en el posparto]]></article-title>
<source><![CDATA[Rev Ginecol Obstet Mex]]></source>
<year>2021</year>
<volume>89</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>415-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gavidia Núñez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Álvarez]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Burga Ugarte]]></surname>
<given-names><![CDATA[IG]]></given-names>
</name>
<name>
<surname><![CDATA[Bravo García]]></surname>
<given-names><![CDATA[NR]]></given-names>
</name>
<name>
<surname><![CDATA[Bernal Gamio]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hígado graso agudo del embarazo, una patología infradiagnosticada: A propósito de un caso]]></article-title>
<source><![CDATA[Rev Perú Investig Matern Perinat]]></source>
<year>2022</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>38-41</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[CSOG MFM Committee Guideline Clinical Management Guidelines for Acute Fatty Liver of Pregnancy in China (2021)]]></article-title>
<source><![CDATA[Rev Maternal Fetal Med]]></source>
<year>2021</year>
<volume>3</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>238-45</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Janati-Idrissi]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Slama]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Taheri]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Saadi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Mimouni]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recurrent Acute Fatty Liver of Pregnancy: About A Case and A Review of the Literature]]></article-title>
<source><![CDATA[Rev Journal of MAR Gynecology]]></source>
<year>2022</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saran]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Misra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Siddiqui]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Agrawal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gurjar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Patwa]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fulminant acute fatty liver of pregnancy presenting with multi-organ failure: A case series]]></article-title>
<source><![CDATA[Rev Int J Crit Illn Inj Sci]]></source>
<year>2022</year>
<volume>12</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>239-43</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Sánchez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Reyna-Villasmil]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-Cepeda]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hígado graso agudo del embarazo Reporte de caso]]></article-title>
<source><![CDATA[Revista Peruana de Ginecología y Obstetricia]]></source>
<year>2018</year>
<volume>64</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>667-70</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castillo]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anestesia para cesárea en una paciente con hígado graso agudo del embarazo]]></article-title>
<source><![CDATA[Rev Esp Anestesiol Reanim]]></source>
<year>2011</year>
<volume>58</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>588-95</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
