Publications by authors named "Carlos Riano"

Article Synopsis
  • Somatic support refers to maintaining homeostasis in a pregnant woman with brain death to ensure fetal viability.
  • A case is presented involving a 21-week-pregnant woman who developed respiratory distress due to influenza A, necessitating VV ECMO support after she suffered brain death from intracranial hemorrhage.
  • A multidisciplinary team decided to continue somatic support to allow the fetus to develop to a stage where it could survive outside the womb, raising complex clinical, ethical, and legal issues.
View Article and Find Full Text PDF

Background: This double-blind, randomized trial compared dural puncture epidural analgesia (DPEA) for labor using 25-gauge and 27-gauge pencil point spinal needles. We hypothesized that both needle sizes would result in similar onset time (equivalence margin=2.5 min) and therefore designed the study as an equivalence trial.

View Article and Find Full Text PDF

A 22-year-old pregnant woman was seen at 14 weeks of pregnancy for infective endocarditis with a vegetation of 15 mm and wide mobility, which affected the native mitral valve accompanied by severe valvular insufficiency. Antibiotic treatment was given for 4 weeks despite the embolism risk. Due to persistence of vegetation size and after considering the fetal and maternal risk, the surgical procedure was favored.

View Article and Find Full Text PDF