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Titolo:
Hypovolaemic shock
Autore:
Hofmeyr, GJ;
Indirizzi:
Univ Witwatersrand, Celcilia Makiwane & Frere Hosp, Effect Care Res Unit, ZA-5200 E London, Eastern Cape, South Africa Univ Witwatersrand E London Eastern Cape South Africa ZA-5200 outh Africa Univ Cape Town, Sch Med, ZA-7925 Cape Town, South Africa Univ Cape Town Cape Town South Africa ZA-7925 25 Cape Town, South Africa
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY
fascicolo: 4, volume: 15, anno: 2001,
pagine: 645 - 662
SICI:
1521-6934(200108)15:4<645:HS>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLACEBO-CONTROLLED TRIAL; 3RD STAGE; POSTPARTUM HEMORRHAGE; RECTAL MISOPROSTOL; NEAR-MISS; LABOR; OXYTOCIN; MANAGEMENT; SYNTOMETRINE;
Keywords:
hypovolaemia; shock; fluid replacement; blood transfusion; antepartum haemorrhage; post-partum haemorrhage; maternal death;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Hofmeyr, GJ Univ Witwatersrand, Celcilia Makiwane & Frere Hosp, Effect Care Res Unit, Private Bag X9047, ZA-5200 E London, Eastern Cape, South AfricaUniv Witwatersrand Private Bag X9047 E London Eastern Cape South Africa ZA-5200
Citazione:
G.J. Hofmeyr, "Hypovolaemic shock", BEST P R CL, 15(4), 2001, pp. 645-662

Abstract

Measured blood loss up to 1000 ml is well tolerated by healthy pregnant women. This is partly due to physiological increases in plasma volume and redcell mass during pregnancy. Nevertheless, hypovolaemic shock is a major cause of maternal mortality. Management requires teamwork, co-ordination, speed and adequate facilities to be life-saving. The first priority is rapid fluid replacement. Evidence from randomized trials has established that crystalloids are the fluids of choice over colloids and particularly albumen, which was associated with increased mortality. Rapid access to blood or blood products for transfusion is necessary, as well as laboratory back-up. Further management includes accurate assessment of the site of bleeding; control of the bleeding; diagnosis and management of the underlying condition; supportive therapy; and monitoring of the clinical, haematological and biochemical response to treatment. Bedside diagnostic ultrasound has several applications in the evaluation of obstetric hypovolaemic shock.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 10:00:45