Perioperative medicine in cesarian section

Abstract

Introduction: Caesarean section is the most frequent surgery worldwide, the ideal rate for this procedure should be 19%, currently it's on the rise worldwide. To reduce the morbidity and mortality associated with anesthetic-surgical procedures in pregnant patients, correct perioperative assessment is necessary, capable of recognizing the risks to which these patients are exposed and being able to create strategies to reduce them. Objective: The patients present risks inherent of pregnancy condition. The following work is carried out with the aim of prioritizing the preoperative assessment for the patient undergoing cesarean delivery to reduce maternal-fetal morbidity and mortality associated with anesthetic-surgical procedures. Methodology: A non-systematized bibliographic search was carried out in Pubmed, Medline, Portal Timbo, Scielo databases to evaluate the perioperative management of cesarean section. The reference keywords used were “cesarean section”, “anesthesia”, “perioperative care”, “maternal mortality”. Results: A review of the perioperative management for cesarean section was carried out, emphasizing the recognition of risks to which the patients are exposed and strategies to reduce them are proposed with the aim of reducing the morbidity and mortality of the patients. Conclusions: Patients undergoing cesarean delivery have a high risk of complications, the most common are presented in the manipulation of the airway, aspiration of gastric content, infections, bleeding, and thrombosis, recognizing these risks and acting on each one of them can reduce the morbidity and mortality of patients.