HaemorrhageObstetricsPatient Blood Management

010 Intraoperative and intrapartum surgical / physical / radiological techniques to minimise blood loss

Hi everyone,

This weeks post is the 5th in my mini series on patient blood management in obstetrics and gynaecology. We discuss some of the strategies we can use to avoid or treat excessive bleeding which can occur during gynaecological surgery or obstetric haemorrhage.

After sitting down to put this section together I soon realised that there is actually a lot more to discuss than I anticipated – so I have decided to split this into two parts – surgical / physical and radiological techniques and then another one on anaesthetic / pharmacological and transfusion strategies.

I am told by some trusted mentors that most podcast (or vodcast) listeners or viewers are time poor & have relatively shortish attention spans such that around 15min is the “sweet spot” for most of us. So based on that this talk is only meant to be a summary – I do hope to inspire you to go away and think about some of these techniques if they catch your interest. Do some more learning and research on your own. Some people have built whole careers around some of these different techniques / strategies! I will hopefully come back at some stage and do a “deep dive” to delve into aspects of some of these in greater detail! (e.g. cell salvage – I have you in my sights Dr Rucklidge!).

Here is the screencast:

Here are some useful resources:

If anyone knows of any other great websites / references please let us all know in the comments!

Overview of topical haemostatic agents for O&G surgery:

http://www.mdedge.com/obgmanagement/article/64699/surgery/your-surgical-toolbox-should-include-topical-hemostatic-agents

Youtube Uterine Artery Ligation:

(Can any obstetricians out there let me know if these videos are any good – if you can find any better teaching videos let me know!)

Links to previous PBM posts:

  1. Patient blood management what is it?
  2. Iron physiology
  3. Oral iron
  4. Intravenous iron

 

 

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