[Nutritional support in a pregnant woman with brain death. Case report and literature review].
The occurence of brain death in pregnancy represents a catastrophic entity although infrequent. The aims of continue medical management are focused in a double purpose: to preserve intrauterine product's life and fetal maturation until delivery and to consider the mother as a potential organ donor. Ethical considerations together with gestational age, fetal well being and relatives' wishes are cardinal for continuing medical support. Modern critical care units allow us to obtain favourable results, supported in scientifical reports that describe successful outcomes. Nutritional aspects plays a cardinal role in the medical management, allowing to preserve the mother's organs' viability and also to preserve fetal intrauterine growth and development.
Hurtado Torres
G F
GF
Servicio de Medicina Interna y Nutrición Clinica, Hospital Central Dr. Ignacio Morones Prieto San Luis Potost SLP, México. gilbertohurtado@medscape.com
Zarazúa Juárez
M
M
Sandoval Munro
L
L
Mendoza Huerta
M
M
D000037:Abruptio Placentae; D000328:Adult; D001926:Brain Death; D001930:Brain Injuries / Q000209:etiology / Q000628:therapy*; D004750:Enteral Nutrition; D017809:Fatal Outcome; D005260:Female; D005313:Fetal Death; D047109:Fetal Development; D005323:Fetal Monitoring; D006801:Humans; D008020:Life Support Care / Q000379:methods*; D019520:Living Donors; D008297:Male; D008800:Mexico; D009751:Nutritional Requirements; D010288:Parenteral Nutrition; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000628:therapy*; D013406:Suicide, Attempted; D020858:Tissue and Organ Harvesting; D014948:Wounds, Gunshot / Q000150:complications