Описание: In this collection, a combined method of preventing and stopping a postpartum obstetric hemorrhage is proposed, involving surgical hemostasis by ligation of the descending branch of the uterine artery and placement of a hemostatic external supraplacental pleated suture, as well as mechanical compression of the uterine cavity with both vaginal and uterine Zhukovsky catheters, and coagulopathy management using thromboelastography (TEG). Uterine hemostatic sutures and their advantages and disadvantages are described in detail, and the benefits of the innovative external supraplacental pleated suture are discussed. Intrauterine balloon tamponade (IUBT) devices have been shown to to be an effective management for severe postpartum hemorrhage (PPH) resulting from uterine atony as well as placental site bleeding. IUBT have now been incorporated into standard protocols for management of severe PPH as a second line conservative surgical procedure due to its simplicity and relatively non-invasive nature. In recent decades, the use of second line procedures has rapidly increased and the effectiveness of these second-line procedures in reducing hysterectomy has been demonstrated in literature. Among these various second line procedures, the use of uterine balloon tamponade increased most rapidly. Balloon tamponade is less invasive and easier to apply than other second line management. Intrauterine balloon tamponade should probably be the first second-line procedure to consider in management of severe PPH. Lastly, the book discusses how anesthesia in pregnant women with rare diseases is challenging. Because of the low occurrence and heterogeneity of these diseases, most anesthesiologists are not familiar with the symptomatology, associated comorbidities, and their consequences for anesthesia. The authors suggest that peroperative monitoring should primarily focus on the cardiopulmonary system, the depth of the neuromuscular block, and the core temperature. Because of the high risk of respiratory depression following general anesthesia in patients with rare diseases, these patients should be closely monitored during the postoperative period, with an emphasis on complete reversal of neuromuscular blockade.
This book offers a highly informative guide to surgical remedies for massive hemorrhage and the management of consumptive coagulopathy during cesarean section. Featuring extensive illustrations and videos coupled with detailed anatomical figures to offer readers vivid insights, it discusses the history of uterine hemostatic methods and explains their evolution and the benefits of using compression sutures. Further, it addresses the treatment of consumptive coagulopathy with massive hemorrhage, which can be complicated during cesarean section.
It is broadly known that ligation of the internal iliac artery is not always effective in hemostasis of uterine bleeding: the success rate of hemostasis is only 40-60%, because uterine blood flow during pregnancy differs considerably from the normal flow. Moreover, the number of complex collateral arteries formed during pregnancy make the situation more complicated, especially in the case of placenta previa.
This book introduces new clinical practice guidelines for critical obstetrical hemorrhage, helping obstetricians successfully manage consumptive coagulopathy. It offers a new and indispensable reference guide for all obstetricians, not only for residents, but also for experienced practitioners.
Автор: Giorgio Capogna Название: Anesthesia for Cesarean Section ISBN: 3319824899 ISBN-13(EAN): 9783319824895 Издательство: Springer Рейтинг: Цена: 12577.00 р. Наличие на складе: Поставка под заказ.
Описание: This book examines every aspect of anesthesia in patients undergoing cesarean section. Practical information is provided on postoperative analgesia, postoperative course and nursing, the significance of cesarean section for breastfeeding, and the occurrence of long-term problems and chronic pain after cesarean section.
Автор: Bruce L. Flamm; Edward J. Quilligan Название: Cesarean Section ISBN: 1461275563 ISBN-13(EAN): 9781461275565 Издательство: Springer Рейтинг: Цена: 15245.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: " The fear of not having performed a section in my opinion is real, although difficult to prove, and until the public can be educated that cesarean section delivery cannot eradicate fetal death and damage, this fear will remain and will be responsible for some unnecessary cesarean sections.
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