Gynecology, Obstetrics and Perinatology

Anesthesia and intensive care in massive obstetric haemorrhage. Clinical guidelines (Treatment protocol)

Authors / Institutions

Efim M. Shifman / M.F.Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russian Federation

Aleksandr V. Kulikov / Urals State Medical University, Ekaterinburg, Russian Federation

D.N.Protsenko / N.I.Pirogov Russian National Research Medical University, Moscow, Russian Federation

A.М.Ovezov / M.F.Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russian Federation

I.B.Zabolotskikh / Kuban State Medical University, Krasnodar, Russian Federation

Natalya V. Artymuk / Kemerovo State Medical Academy, Kemerovo, Russian Federation

T.E.Belokrinitskaya / Chita State Medical Academy, Chita, Russian Federation

G.A.Penzhoyan / Kuban State Medical University, Krasnodar, Russian Federation

I.V.Bratishchev / Russian Medical Academy of Continuing Professional Education, Moscow, Russian Federation

A.N.Drobinskaya / Novosibirsk National Research State University, Novosibirsk, Russian Federation

Sergey I. Sitkin / Tver State Medical University, Tver, Russian Federation

A.M.Ronenson / E.M.Bakunina Regional Clinical Perinatal Centre, Tver, Russian Federation

Yuriy S. Raspopin / Krasnoyarsk Regional Clinical Centre for Maternal and Child Health, Krasnoyarsk, Russian Federation

A.A.Matkovskiy / Urals State Medical University, Ekaterinburg, Russian Federation

O.V.Ryazanova / Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russian Federation

S.I.Blauman / Clinical Maternity Hospital No 6, Omsk, Russian Federation

M.V.Shvechkova / Perinatal Centre, Tyumen, Russian Federation

I.S.Abazova / Republican Clinical Hospital, Nalchik, Russian Federation

I.Z.Kitiashvili / Astrakhan State Medical Academy, Astrakhan, Russian Federation

A.A.Bukhtin / L.I.Ushakova Volgograd Regional Clinical Perinatal Centre No 1, Volzhsky, Russian Federation

V.S.Gorokhovskiy / Far Eastern State Medical University, Khabarovsk, Russian Federation
The article highlights the main provisions of the clinical guidelines (treatment protocols) on anaesthesia and intensive care in massive obstetric hemorrhage. It consistently presents main risk factors, possible complications (DIC-syndrome), principles of clinical and laboratory diagnosis of this pathology. Special attention is paid to the issues of infusion, transfusion therapy and correction of coagolopathic disorders. The problems of estimating the volume of blood loss, diagnosis of hemostasis system disorders, and hemodynamic regulation in hemorrhagic shock are discussed. The use of recombinant blood coagulation factor (FVIIa) in coagulopathy against the background of massive blood loss has been substantiated.

Key words: obstetrics, hemostatic therapy, DIC-syndrome, infusion therapy, massive hemorrhage, shock.

For citation: Shifman E.M., Kulikov A.V., Protsenko D.N., Ovezov A.M., Zabolotskikh I.B., Artymuk N.V., Belokrinitskaya T.E., Penzhoyan G.A., Bratishchev I.V., Drobinskaya A.N., Sitkin S.I., Ronenson A.M., Raspopin Yu.S., Matkovskiy A.A., Ryazanova O.V., Blauman S.I., Shvechkova M.V., Abazova I.S., Kitiashvili I.Z., Bukhtin A.A., Gorokhovskiy V.S. Anesthesia and intensive care in massive obstetric haemorrhage. Clinical guidelines (Treatment protocol). Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2018; 17(3): 81–100. (In Russian).
DOI: 10.20953/1726-1678-2018-3-81-100

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