title: [Anaesthetic management of patients in the third trimester of pregnancy undergoing urgent laparoscopic surgery. Experience in a general hospital].
abstract: BACKGROUND
  Laparoscopic surgery is well accepted as a safe technique when performed on a third trimester pregnant woman.
  
  
  OBJECTIVE
  The aim is to describe the anaesthetic management of a group of patients undergoing this type of surgery.
  
  
  METHODS
  An analysis was made of records of 6 patients in their third trimester of pregnancy and who underwent urgent laparoscopic surgery from 2011 to 2013.
  
  
  METHODS
  The study included 6 patients, with a diagnosis of acute cholecystitis in 4 of them. The other 2 patients had acute appendicitis, both of who presented threatened preterm labour.
  
  
  CONCLUSIONS
  The most frequent indications for laparoscopic surgery during the last trimester of birth were found to be acute cholecystitis and acute appendicitis. Acute appendicitis is related to an elevated risk of presenting threatened preterm labour.
authors.affiliation: División de Anestesiología, Hospital General Dr. Manuel Gea González, Ciudad de México, México. Electronic address: mlopezcollada@gmail.com.
authors.forename: María
authors.initials: M
authors.lastname: López-Collada Estrada
authors.affiliation: División de Anestesiología, Hospital General Dr. Manuel Gea González, Ciudad de México, México.
authors.forename: Rosalba
authors.initials: R
authors.lastname: Olvera Martínez
mesh_terms: D000208:Acute Disease; D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D000771:Anesthesia, Intravenous / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D001623:Betamethasone / Q000627:therapeutic use; D002585:Cesarean Section; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002764:Cholecystitis / Q000601:surgery*; D003430:Cross-Sectional Studies; D004630:Emergencies; D005260:Female; D005333:Fetus / Q000187:drug effects; D006769:Hospitals, General; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D011225:Pre-Eclampsia / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011263:Pregnancy Trimester, Third; D015149:Tocolytic Agents / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D015149:Tocolytic Agents; D001623:Betamethasone
keywords: Anaesthesia; Anestesia; Cirugía laparoscópica de urgencia; Hipotensión; Hypotension; Tercer trimestre del embarazo; Third trimester of pregnancy; Urgent laparoscopic surgery