Advance in the anesthetic management for major obstetric hemorrhage
10.3760/cma.j.cn431274-20200628-00877
- VernacularTitle:产科大出血围术期麻醉管理进展
- Author:
Xiaoyong SHI
1
;
Yin GU
;
Shenshan GAO
;
Xuebing XU
Author Information
1. 香港大学深圳医院麻醉科 518053
- From:
Journal of Chinese Physician
2020;22(7):986-989,994
- CountryChina
- Language:Chinese
-
Abstract:
Major obstetric hemorrhage (MOH) may endanger the life of maternal during the perioperative period. Its highly efficient management involves multidisciplinary co-operation and is a complex clinical emergency situation which needs teamwork to complete. Anesthesiologist, as the key member of the obstetric MOH management team, should actively cooperate with the obstetricians once they decide to perform an emergency procedure for the parturient. They should possess perfect skill in resuscitation and rich experiences for assessment of MOH. They also should be professional in monitoring and caring for the critically ill patient. Constantly simulation training also should be actively carried out for MOH. In this review, the definition and etiology of MOH, drug and surgical treatment, anesthesia management (including preparation before anesthesia, hemorrhagic shock assessment, choice of anesthesia methods, blood transfusion, blood cell salvage, coagulation function and hemodynamic monitoring) were reviewed, and the conclusions were just for references.
