{"id":38344,"date":"2022-03-03T16:11:41","date_gmt":"2022-03-03T15:11:41","guid":{"rendered":"https:\/\/www.icarectg.com\/5-o-caso-03-03-22\/"},"modified":"2022-03-03T16:11:41","modified_gmt":"2022-03-03T15:11:41","slug":"5-o-caso-03-03-22","status":"publish","type":"post","link":"https:\/\/www.icarectg.com\/pt-pt\/5-o-caso-03-03-22\/","title":{"rendered":"5.\u00ba CASO (03\/03\/22)"},"content":{"rendered":"

Hoje, vamos abordar temas um pouco mais densos. Caso de altera\u00e7\u00e3o brusca da FCFb. <\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

\"\"<\/p>\n

 <\/p>\n

RESUMO DO QUE FOI COMENTADO:<\/p>\n

    \n
  1. Este feto chegou saud\u00e1vel \u00e0 sala de partos.<\/li>\n
  2. O que pode ter feito com que a FCFb aumentasse de 140 para 200?\n
      \n
    1. Hipoxia? N\u00e3o sem desacelera\u00e7\u00f5es pr\u00e9vias. <\/li>\n
    2. Infe\u00e7\u00e3o? N\u00e3o at\u00e9 200 <\/li>\n
    3. Desidrata\u00e7\u00e3o? N\u00e3o provoca tanta taquicardia fetal <\/li>\n
    4. F\u00e1rmacos? N\u00e3o tinham sido administrados <\/li>\n
    5. Perturba\u00e7\u00f5es da condu\u00e7\u00e3o –> Isto \u00e9 o que temos de suspeitar<\/li>\n<\/ol>\n<\/li>\n
    6. Fal\u00e1mos especialmente das arritmias supraventriculares e dos circuitos de reentrada. E do risco que provocam no feto de falha card\u00edaca. <\/li>\n
    7. Discutimos em detalhe o tratamento, diferenciando tr\u00eas cen\u00e1rios:\n
        \n
      1. Per\u00edodo antenatal –> Pode tentar fazer-se uma cordocentese e administrar Flecainida se dispuser de um servi\u00e7o potente de medicina perinatal<\/li>\n
      2. Trabalho de parto dilatada >4cm –> Pode tentar pressionar a fontanela maior que tem grande irriga\u00e7\u00e3o parassimp\u00e1tica e estimular o nervo vago. Muitas vezes reverte (seria como pressionar as car\u00f3tidas num adulto). <\/li>\n
      3. Menor dilata\u00e7\u00e3o –> Cesariana porque n\u00e3o pode saber quando vai reverter espontaneamente nem quanto tempo resta ao feto de margem.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

        –> Neste caso, fizeram uma cesariana e obteve-se um rec\u00e9m-nascido com APGAR 9\/10\/10 e pH normais.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Hoje, vamos abordar temas um pouco mais densos. Caso de altera\u00e7\u00e3o brusca da FCFb.   RESUMO DO QUE FOI COMENTADO: Este feto chegou saud\u00e1vel \u00e0 sala de partos. O que pode ter feito com que a FCFb aumentasse de 140 para 200? Hipoxia? N\u00e3o sem desacelera\u00e7\u00f5es pr\u00e9vias. Infe\u00e7\u00e3o? N\u00e3o at\u00e9 200 Desidrata\u00e7\u00e3o? N\u00e3o provoca tanta […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-38344","post","type-post","status-publish","format-standard","hentry","category-teactg"],"yoast_head":"\n5.\u00ba CASO (03\/03\/22) - icareCTG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.icarectg.com\/pt-pt\/5-o-caso-03-03-22\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"5.\u00ba CASO (03\/03\/22) - icareCTG\" \/>\n<meta property=\"og:description\" content=\"Hoje, vamos abordar temas um pouco mais densos. 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