{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:53:05Z","timestamp":1747201985738,"version":"3.40.5"},"reference-count":38,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: describir las caracter\u00edsticas cl\u00ednicas y la frecuencia de complicaciones maternas, fetales y neonatales, seg\u00fan t\u00e9cnica de anestesia neuroaxial (AN) en mujeres con s\u00edndrome de transfusi\u00f3n feto-fetal (STFF) tratadas con fotocoagulaci\u00f3n l\u00e1ser (FL). Materiales y m\u00e9todos: estudio de cohorte retrospectiva descriptivo. Se incluyeron gestantes con STFF tratadas con FL y AN en la Fundaci\u00f3n Valle del Lili, Cali (Colombia) entre 2013-2017. Se excluyeron pacientes con STFF estadio-V de Quintero. Se us\u00f3 estad\u00edstica descriptiva. El protocolo fue aprobado por el Comit\u00e9 de \u00c9tica de la instituci\u00f3n. Resultados: 32 participantes cumplieron con los criterios de inclusi\u00f3n y de exclusi\u00f3n. La poblaci\u00f3n estuvo constituida por mujeres j\u00f3venes, mult\u00edparas. En el 87,5% de los casos se realiz\u00f3 intervenci\u00f3n de urgencia. El 43,7% presentaba el estadio-III de Quintero y en el 56,2\u2009% de las gestantes se utiliz\u00f3 anestesia epidural. Las variables hemodin\u00e1micas maternas exhibieron un comportamiento similar, acorde al momento de la cirug\u00eda y la t\u00e9cnica neuoraxial implementada. El 65,6\u2009% de las gestantes present\u00f3 hipotensi\u00f3n sostenida y el 9,3\u2009% desarroll\u00f3 edema pulmonar. El 65,6\u2009% de las pacientes experiment\u00f3 parto pret\u00e9rmino y el 18,7\u2009% ruptura prematura de membranas. Se registraron 14 muertes fetales y cinco neonatales. No se registraron casos de mortalidad materna. Conclusiones: en pacientes con STFF que requieren FL, el uso de la anestesia epidural, espinal o combinada probablemente se asocia con un comportamiento similar al de las variables hemodin\u00e1micas maternas, durante los momentos de la cirug\u00eda. Los profesionales que brindan atenci\u00f3n a estas gestantes deben estar alerta ante la frecuente aparici\u00f3n de complicaciones maternas, fetales y neonatales. Se requieren estudios prospectivos que eval\u00faen la seguridad y la efectividad de las diferentes t\u00e9cnicas de anestesia neuroaxial en pacientes con STFF.<\/jats:p>","DOI":"10.18597\/rcog.3644","type":"journal-article","created":{"date-parts":[[2021,10,14]],"date-time":"2021-10-14T20:35:42Z","timestamp":1634243742000},"page":"258-270","source":"Crossref","is-referenced-by-count":2,"title":["Seguridad de la anestesia neuroaxial en mujeres con embarazo gemelar y s\u00edndrome de transfusi\u00f3n feto-fetal, sometidas a fotocoagulaci\u00f3n l\u00e1ser. 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