Cutting-edge advances in the medical management of obstetrical hemorrhage

Luis Pacheco, George Saade, Alfredo F. Gei, Gary Hankins

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Hemorrhagic shock is the most common form of shock encountered in obstetric practice. Interventions that may limit transfusion requirements include normovolemic hemodilution, use of recombinant activated factor VII, selective embolization of pelvic vessels by interventional radiology, and the use of the cell saver intraoperatively. Current understanding of the mechanisms of acute coagulopathy calls into question the current transfusion guidelines, leading to a tendency to apply massive transfusion protocols based on hemostatic resuscitation despite lack of prospective data.

Original languageEnglish (US)
Pages (from-to)526-532
Number of pages7
JournalAmerican Journal of Obstetrics and Gynecology
Volume205
Issue number6
DOIs
StatePublished - Dec 2011

Fingerprint

Interventional Radiology
Factor VIIa
Hemodilution
Hemorrhagic Shock
Hemostatics
Resuscitation
Obstetrics
Shock
Guidelines
Hemorrhage

Keywords

  • hemorrhage
  • hemostatic resuscitation
  • pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Cutting-edge advances in the medical management of obstetrical hemorrhage. / Pacheco, Luis; Saade, George; Gei, Alfredo F.; Hankins, Gary.

In: American Journal of Obstetrics and Gynecology, Vol. 205, No. 6, 12.2011, p. 526-532.

Research output: Contribution to journalArticle

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