By C. Lipp, R. Dhaliwal, E. Lang (auth.), Jean-Louis Vincent Prof. (eds.)
The Yearbook compiles the latest advancements in experimental andclinical examine and perform in a single complete reference booklet. Thechapters are written via good well-known specialists within the box of in depth care and emergency medication. it really is addressed to all people thinking about inner medication, anesthesia, surgical procedure, pediatrics, extensive care and emergency medicine.
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Additional info for Annual Update in Intensive Care and Emergency Medicine 2013
The scope of this review is to highlight current trends in epidemiology, medical treatment and the current controversy on transfusion protocols, blood component therapy or specific pharmacological interventions on the coagulation system. A Symptom, Not a Diagnosis: Pathophysiological Considerations The gravid uterus receives some 350 ml/min of maternal blood , thus PPH can be extremely severe and then easily diagnosed. For initial stages of PPH or less than severe bleeding diagnosis may be more difficult.
However, as platelet count is an important obstetric parameter (e. , for HELLP diagnostics), many delivery units will be equipped with a POC test for platelet count, which can be very useful in massive PPH. Conclusion PPH is the leading cause of maternal morbidity and mortality worldwide. Although global efforts have helped to reduce maternal mortality worldwide, the rate of PPH in developed countries is increasing; nonetheless, 99 % of cases occur in developing countries. Continuing attention has to be paid to further pursue the millennium development goal of a reduction of maternal mortality by three quarters between 1990 and 2015.
Cochrane Database Syst Rev CD007872 71. Gungorduk K, Yıldırım G, Asıcıoğlu O et al (2011) Efficacy of intravenous tranexamic acid in reducing blood loss after elective cesarean section: a prospective, randomized, doubleblind, placebo-controlled study. Am J Perinatol 28:233–240 72. Movafegh A, Eslamian L, Dorabadi A (2011) Effect of intravenous tranexamic acid administration on blood loss during and after cesarean delivery. BJOG 115:224–226 73. Ferrer P, Roberts I, Sydenham E et al (2009) Anti-fibrinolytic agents in post partum haemorrhage: a systematic review.