| Resuscitation in massive obstetric haemorrhage using an intraosseous needle*. | |
| | |
MedLine Citation:
|
PMID: 21401545 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
A 38-year-old woman experienced a massive postpartum haemorrhage 30 minutes after emergency caesarean delivery. The patient became severely haemodynamically compromised with an unrecordable blood pressure. Rapid fluid resuscitation was limited by the capacity of the intravenous cannula in place at the time and inability to establish additional vascular access using conventional routes in a timely manner. An intraosseous needle was inserted in the proximal humerus at the first attempt and administration of resuscitation fluid by this route subsequently enabled successful placement of further intravenous lines. Blood and blood products were deployed in conjunction with intra-operative cell salvage and transoesophageal Doppler cardiac output monitoring was used to assess adequacy of volume replacement. Haemorrhage control was finally achieved with the use of recombinant factor VIIa and hysterectomy. |
| | |
Authors:
|
D J Chatterjee; B Bukunola; T L Samuels; L Induruwage; D R Uncles |
Related Documents
:
|
15131315 - Phase-contrast magnetic resonance imaging measurements of cerebral autoregulation with ... 15983025 - Clearance of moxifloxacin during continuous haemofiltration (cvvhf) in vitro. 1548295 - The role of electrode size on the incidence of spreading depression and on cortical cer... 11991015 - Comparative bioavailability of oral sugar-coated and plain formulation of chloroquine p... 15560105 - The lymphatic vascular system: secondary or primary? 3556985 - Endoscopic measurements of canine colonic mucosal blood flow using hydrogen gas clearance. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Anaesthesia Volume: 66 ISSN: 1365-2044 ISO Abbreviation: Anaesthesia Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-03-15 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: England |
Other Details:
|
Languages: eng Pagination: 306-10 Citation Subset: AIM; IM |
Copyright Information:
|
© 2011 The Authors. Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland. |
Affiliation:
|
Specialist Trainee Specialty Doctor Research Registrar Core Trainee Consultant, Department of Anaesthesia, Worthing Hospital, Worthing, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evaluation of a novel approach.
Next Document: Investigation of the HIN200 Locus in UK SLE Families Identifies Novel Copy Number Variants.