AI Article Synopsis
- * She was successfully resuscitated using a combination of cardiopulmonary resuscitation (CPR), resuscitative endovascular balloon occlusion of the aorta (REBOA), a hysterectomy, and pelvic gauze packing.
- * The case highlights the effectiveness of a damage control approach, particularly REBOA-assisted CPR, in managing life-threatening postpartum hemorrhage, ultimately allowing the patient to recover without neurological issues.
Article Abstract
Background: Uterine rupture is a major cause of postpartum hemorrhage (PPH) that requires surgery. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is also helpful for PPH. However, the effectiveness of REBOA in PPH with cardiac arrest is unknown.
Case Presentation: A 40-year-old woman developed hemorrhagic shock due to uterine rupture after an induced delivery. She developed cardiac arrest, but was rescued by cardiopulmonary resuscitation (CPR), REBOA, a hysterectomy, and pelvic gauze packing. The hemodynamics were too unstable to move to the operating room. Then we initiated the CPR assisted with REBOA and decided to activate massive transfusion and perform laparotomy in the emergency room. She was finally discharged home without neurological sequelae.
Conclusion: Our damage control strategy, including REBOA-assisted CPR, contributed to saving the life of a patient with a life-threatening PPH.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400946 | PMC |
| http://dx.doi.org/10.1002/ams2.881 | DOI Listing |
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