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A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine
Published on: December 6, 2024
398
Latest advances in postpartum hemorrhage management
Sangeeta Kumaraswami1, Alexander Butwick2
1Department of Anesthesiology, Westchester Medical Center, New York Medical College, 100, Woods Road, Valhalla, NY, 10595, USA.
Best Practice & Research. Clinical Anaesthesiology
|June 6, 2022
Summary
Postpartum hemorrhage (PPH) is a leading maternal mortality cause. This review explores PPH risk assessment, blood loss measurement, and anesthetic management strategies to improve patient outcomes.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Maternal Health
Background:
- Postpartum hemorrhage (PPH) remains a primary cause of maternal mortality globally.
- Effective prevention and management strategies are crucial for maternal health.
- Anesthesiologists are key in developing hospital-based PPH prevention and planning.
Purpose of the Study:
- To review the utility of PPH risk-assessment tools, bundles, and protocols.
- To discuss methods for measuring postpartum blood loss.
- To examine anesthetic and transfusion management strategies for PPH.
Main Methods:
- Review of PPH risk-assessment tools, measurement modalities (visual, volumetric, gravimetric, colorimetric), and point-of-care diagnostics (ultrasonography, thromboelastometry).
- Discussion of anesthetic management, including blood ordering, massive transfusion protocols, transfusion strategies (fixed-ratio vs. goal-directed), and coagulation monitoring.
- Evaluation of pharmacological adjuncts like tranexamic acid and fibrinogen concentrate.
Main Results:
- Anesthesiologists utilize clinical and diagnostic data for PPH management.
- Accurate blood loss measurement is essential for timely intervention.
- Point-of-care technologies offer real-time hemodynamic and coagulation assessment.
- Evidence-based transfusion protocols and pharmacological agents can optimize PPH care.
Conclusions:
- Anesthesiologists play a vital role in PPH prevention and management.
- Comprehensive strategies encompassing risk assessment, accurate monitoring, and tailored transfusion protocols are necessary.
- Utilizing advanced technologies and pharmacological adjuncts can significantly improve PPH outcomes.
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