The Role of Massive Transfusion Protocols in Obstetrics

Luis D. Pacheco; George R. Saade; Maged M. Costantine; Steven L. Clark; Gary D.V. Hankins

doi:10.1055/s-0032-1322511

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 2013; 30(01): 001-004
DOI: 10.1055/s-0032-1322511

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Role of Massive Transfusion Protocols in Obstetrics

Luis D. Pacheco

¹Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas

²Division of Surgical Critical Care, Department of Anesthesiology, The University of Texas Medical Branch, Galveston, Texas

,

George R. Saade

¹Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas

,

Maged M. Costantine

¹Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas

,

Steven L. Clark

³Women and Newborns Clinical Program, Hospital Corporation of America, Salt Lake City, Utah

,

Gary D.V. Hankins

¹Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, Texas

› Institutsangaben

Abstract

Obstetric hemorrhage is a leading cause of maternal mortality worldwide. New concepts involving the pathophysiology of hemorrhage have been described and include early activation of both the protein C and fibrinolytic pathways. New tendencies in hemorrhage treatment include the use of hemostatic resuscitation. Massive transfusion protocols involve the early utilization of blood products and limit the traditional approach of early massive crystalloid based resuscitation. The evidence behind hemostatic resuscitation is still limited.

Keywords

obstetric hemorrhage - massive transfusion - hemostasis

Volltext

Referenzen

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