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Am. J. Obstet. Gynecol. · Dec 2011
ReviewCutting-edge advances in the medical management of obstetrical hemorrhage.
- Luis D Pacheco, George R Saade, Alfredo F Gei, and Gary D V Hankins.
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TX, USA.
- Am. J. Obstet. Gynecol. 2011 Dec 1; 205 (6): 526-32.
AbstractHemorrhagic 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.Copyright © 2011 Mosby, Inc. All rights reserved.
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