Emergent management of postpartum hemorrhage for the general and acute care surgeon.
| Autor: | Weisbrod AB; Department of Surgery, National Naval Medical Center, Bethesda, MD, USA. forest.sheppard@med.navy.mil., Sheppard FR, Chernofsky MR, Blankenship CL, Gage F, Wind G, Elster EA, Liston WA |
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| Jazyk: | angličtina |
| Zdroj: | World journal of emergency surgery : WJES [World J Emerg Surg] 2009 Nov 25; Vol. 4, pp. 43. Date of Electronic Publication: 2009 Nov 25. |
| DOI: | 10.1186/1749-7922-4-43 |
| Abstrakt: | Background: Postpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a paucity of exposure and information available to surgeons regarding this topic: obstetric training is rarely found in contemporary surgical residency curricula and is omitted nearly completely from general and acute care surgery literature and continuing medical education. Methods: The purpose of this manuscript is to serve as a topic specific review for surgeons and to present a surgeon oriented management algorithm. Medline and Ovid databases were utilized in a comprehensive literature review regarding the management of postpartum hemorrhage and a management algorithm for surgeons developed based upon a collaborative panel of general, acute care, trauma and obstetrical surgeons' review of the literature and expert opinion. Results: A stepwise approach for surgeons of the medical and surgical interventions utilized to manage and treat postpartum hemorrhage is presented and organized into a basic algorithm. Conclusion: The manuscript should promote and facilitate a more educated, systematic and effective surgeon response and participation in the management of postpartum hemorrhage. |
| Databáze: | MEDLINE |
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