Damage-Control Surgery for Obstetric Hemorrhage
| Autor: | Luis D. Pacheco, M. James Lozada, Gary D.V. Hankins, George R. Saade |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Critical Care 030230 surgery law.invention 03 medical and health sciences 0302 clinical medicine Refractory Pregnancy 030202 anesthesiology law Coagulopathy Humans Medicine Acidosis Postoperative Care business.industry Postpartum Hemorrhage Obstetrics and Gynecology Hypothermia Delivery Obstetric medicine.disease Intensive care unit Hemostasis Surgical Surgery Damage control surgery Hemostasis Female medicine.symptom business |
| Zdroj: | Obstetrics & Gynecology. 132:423-427 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0000000000002743 |
| Popis: | Damage-control surgery (abdominopelvic packing followed by a period of medical stabilization in the intensive care unit) is a life-saving intervention usually reserved for critically injured patients who may not survive an attempt to achieve hemostasis and complete repair of the damage in the operating room. Most obstetricians have little or no experience in this area, although the use of damage-control surgery in selected cases may be life-saving. This approach should be considered when arterial bleeding has been controlled and persistent bleeding is deemed to be secondary to coagulopathy that is refractory to blood product replacement, particularly in the presence of hypothermia, acidosis, and vasopressor requirement. A prototypical (albeit hypothetical) case is described here in which damage-control surgery is indicated. |
| Databáze: | OpenAIRE |
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