Hemostatic Resuscitation in Postpartum Hemorrhage—A Supplement to Surgery

Autor: Charlotte Krebs Albrechtsen, Jakob Stensballe, Gabriele Hanke, Arash Afshari, Anne Juul Wikkelsoe, Kim Ekelund
Rok vydání: 2016
Předmět:
Zdroj: Obstetric Anesthesia Digest. 36:80-81
ISSN: 0275-665X
DOI: 10.1097/01.aoa.0000482614.25539.1b
Popis: Background. Postpartum hemorrhage is a potentially life-threatening albeit preventable condition that persists as a leading cause of maternal death. Identification of safe and cost-effective hemostatic treatment options remains crucial as a supplement to surgery and uterotonic agents. Objective. This review summarizes the background, current evidence and recommendations with regard to the role of fibrinogen, tranexamic acid, prothrombin complex concentrate, desmopressin, and recombinant factor VIIa in the treatment of patients with postpartum hemorrhage. The benefits and evidence behind traditional standard laboratory tests and viscoelastic hemostatic assays, i.e. thromboelastography
Databáze: OpenAIRE