{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:49:11Z","timestamp":1776095351636,"version":"3.50.1"},"reference-count":65,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objetivo: ofrecer un marco conceptual para el abordaje del trauma craneoencef\u00e1lico (TCE) en gestantes, integrando los fundamentos fisiopatol\u00f3gicos, la evidencia cient\u00edfica disponible y las estrategias cl\u00ednicas actuales que apoyen la toma de decisiones.\nMateriales y m\u00e9todos: a partir de un caso hipot\u00e9tico que ilustra de manera pr\u00e1ctica el tema, se desarrolla un documento explicativo basado en una revisi\u00f3n narrativa estructurada. En \u00e9l se describen los cambios fisiol\u00f3gicos del embarazo relevantes para el TCE, los principios de reanimaci\u00f3n inicial, el manejo de la hipertensi\u00f3n intracraneal, el uso del neuromonitoreo, el abordaje obst\u00e9trico y las implicaciones \u00e9ticas asociadas a la muerte materna por criterios neurol\u00f3gicos.\nResultados: el embarazo conlleva adaptaciones anat\u00f3micas y funcionales que alteran la respuesta materna al trauma. Estas modificaciones impactan la v\u00eda a\u00e9rea, la hemodinamia, la oxigenaci\u00f3n y la autorregulaci\u00f3n cerebral, lo que requiere ajustar el abordaje cl\u00ednico. Se destacan aspectos clave como el manejo inicial, el control de la hipertensi\u00f3n intracraneal, la neuromonitorizaci\u00f3n, el cuidado obst\u00e9trico y las implicaciones \u00e9ticas en escenarios de muerte materna por criterios neurol\u00f3gicos.\nConclusiones: el manejo del TCE en gestantes es un desaf\u00edo cl\u00ednico que requiere conocer la fisiolog\u00eda materna y su impacto en la lesi\u00f3n cerebral aguda. Dada la falta de gu\u00edas y recomendaciones espec\u00edficas, se deben adoptar las recomendaciones de la poblaci\u00f3n general teniendo presentes los cambios fisiol\u00f3gicos del embarazo.<\/jats:p>","DOI":"10.18597\/rcog.4358","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T13:22:16Z","timestamp":1755696136000},"update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["Trauma craneoencef\u00e1lico en paciente obst\u00e9trica: desaf\u00edos y estrategias de manejo","Traumatic brain injury in obstetric patients: challenges and management strategies"],"prefix":"10.18597","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5552-9292","authenticated-orcid":false,"given":"Javier Andr\u00e9s","family":"Mora-Arteaga","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Intensive Care Unit, Hospital Universitario San Ignacio. School of Medicine, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Departamento de Medicina Interna, Unidad de Cuidados Intensivos, Hospital Universitario San Ignacio. Facultad de Medicina, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5713-4173","authenticated-orcid":false,"given":"Diego Camilo","family":"Reyes","sequence":"additional","affiliation":[{"name":"Critical Medicine and Intensive Care, Fundaci\u00f3n Santaf\u00e9 de Bogot\u00e1. Bogot\u00e1 (Colombia)."},{"name":"Medicina Cr\u00edtica y Cuidado Intensivo, Fundaci\u00f3n Santaf\u00e9 de Bogot\u00e1. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0318-156X","authenticated-orcid":false,"given":"Daniela","family":"Saa Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Critical Medicine and Intensive Care, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Medicina Cr\u00edtica y Cuidado Intensivo, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0944-309X","authenticated-orcid":false,"given":"Isabella","family":"Rivera Tobar","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Ginecolog\u00eda y Obstetricia, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. 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