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AJP Rep 2011; 01(02): 119-122
DOI: 10.1055/s-0031-1293514
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lifesaving Intraosseous Access in a Patient with a Massive Obstetric Hemorrhage

Joey de Vogel
1   Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands
,
Roger Heydanus
1   Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands
,
Annemarie G.M. Mulders
1   Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands
,
Dina J.C. Smalbraak
1   Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands
,
Dimitri N.M. Papatsonis
1   Department of Obstetrics and Gynecology, Amphia Hospital Breda, Breda, The Netherlands
,
Bastiaan M. Gerritse
2   Department of Anaesthesiology, Amphia Hospital Breda, Breda, The Netherlands
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Publikationsdatum:
11. November 2011 (online)

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Abstract

A 42-year-old, gravida 1, para 0 woman was induced at a gestational age of 41 weeks because of post-term dates. The fourth stage of delivery was complicated by a massive hemorrhage. The uncontrollable persisting amount of blood loss led to hypovolemic shock and cardiopulmonary arrest. Lifesaving extra access was gained through an intraosseous needle in the proximal tibia. We therefore advocate including the use of an intraosseous needle as an additional route for intravascular volume replacement in case of peripartum hemorrhage.

Keywords

Intraosseous infusion - massive obstetric hemorrhage - peripartum - hypovolemic shock
 

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