鲍红光-产科出血的麻醉与处理.pptVIP

So I was called in at 01.30…. Previous Caesarian Section Fully dilated - prolonged second stage Placenta stuck in vagina and therefore traction applied Uterus inverted into vagina Patient started to go into shock There is a lot of blood around… Rushed to theatre and given a GA Uterus reverted to normal manually and with pressure Ergometrin given and syntocinon infusion started However: Bleeding continues And there is no sign of it stopping Managed with continuous uterine massage and manual compression The night draws on…… Coagulopathy 0230: Still compressing Everything reasonably stable