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A non‐inflatable anti‐shock garment for obstetric hemorrhage
Author(s) -
Brees C.,
Hensleigh P.A.,
Miller S.,
Pelligra R.
Publication year - 2004
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2004.07.014
Subject(s) - medicine , shock (circulatory) , resuscitation , hemostasis , hemorrhagic shock , inflatable , surgery , anesthesia , intensive care medicine , mechanical engineering , engineering
Objectives Maternal death from hemorrhage in low resource settings is frequently due to long delays in transportation to referral centers and/or in obtaining blood and surgical interventions. This case series was designed to demonstrate the feasibility, efficacy and safety of the non‐inflatable anti‐shock garment (NI‐ASG) for resuscitation and hemostasis in the initial management of obstetric hemorrhage and shock. Methods Fourteen cases of obstetric hemorrhage and hypovolemic shock at Memorial Christian Hospital, Sialkot, Pakistan were managed with a specific clinical protocol based on using NI‐ASG as the primary intervention. Results The NI‐ASG was used to resuscitate and stabilize women with hypovolemic shock from 18 to 57 h. Thirteen patients survived without evidence of morbidity, but one had prolonged shock followed by multiple organ failure and death. Conclusions This study confirmed that the NI‐ASG quickly restored the vital signs of most women in severe hemorrhagic shock and stabilized them while awaiting blood transfusion.