Updates in the perioperative management of postpartum hemorrhage
2023年4月20日 · The pressure applied by the NASG is 20–40 mmHg. Direct compression of the abdomen, pelvis, and descending aorta decreases pelvic organ perfusion, thus increasing vital organ perfusion (heart, lungs, brain) and increasing the cardiac output, with decreasing of bleeding from the uterine arteries and the mesenteric vessels (Althabe et al. 2020)
Resuscitative Endovascular Balloon Occlusion of the Aorta …
2024年11月1日 · A REBOA catheter was percutaneously inserted, initially positioned in the descending thoracic aorta (Zone 1) to reduce placental haemorrhage from mesenteric collaterals, using external anatomic landmarks, and later withdrawn to Zone 3.
Novel concepts and improvisation for treating postpartum …
2023年8月11日 · External aortic compression and direct compression of the aorta during laparotomy or aortic clamping (such as with the Paily clamp) are alternatives. Transvaginal haemostatic ligation and compression sutures, placental site sutures and a variety of novel compression sutures have been reported.
Balloon occlusion of the descending aorta in the treatment of …
Balloon occlusion of the descending aorta in the treatment of severe post-partum haemorrhage Aust N Z J Obstet Gynaecol . 2004 Apr;44(2):170-1. doi: 10.1111/j.1479-828X.2004.00181.x.
Mechanical and surgical interventions for treating primary postpartum …
Randomised controlled trials (RCTs) of mechanical/surgical methods for the treatment of primary PPH compared with standard care or another mechanical/surgical method. Interventions could include uterine packing, intrauterine balloon insertion, artery ligation/embolism, or uterine compression (either with sutures or manually).
guidance on how to perform aortic compression at cesarean delivery. Techniques for aortic compression include using a closed fist or the h. el of the hand to compress the aorta against the lumbosacral spine. Alternatively, use a moist rolled-up surgical towel or la.
Identification, prevention and management of post-partum haemorrhage ...
2020年8月1日 · Direct compression of the aorta can arrest bleeding vessels in the uterus to control haemorrhage and allow time for resuscitation. Novel devices such as the external aortic compression device (EACD) have been developed to facilitate this technique.
External abdominal aortic compression: a study of a ... - PubMed
External aortic compression is an emergency manoeuvre proposed to reduce postpartum haemorrhage and permit time for resuscitation and control of bleeding. To assess this technique, a prospective study was performed on twenty normal non-bleeding parturients. The abdominal aorta was compressed by firm …
Internal manual compression of the aorta—an effective way to ...
2022年3月3日 · Internal manual aortic compression (IMAC) is a practical, immediate and straightforward method to stop pelvic bleeding. IMAC is equivalent to aortic clamping or the use of endovascular balloon occlusion, but it does not require extensive training, instruments, or …
Resuscitative Endovascular Balloon Occlusion of the Aorta …
A REBOA catheter was percutaneously inserted, initially positioned in the descending thoracic aorta (Zone 1) to reduce placental haemorrhage from mesenteric collaterals, using external anatomic landmarks, and later withdrawn to Zone 3.
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