Uterine tamponade‐drain for hemorrhage secondary to placenta previa‐accreta

Bakri, Younes N.

doi:10.1016/0020-7292(92)90336-h

Cited by 65 publications

(60 citation statements)

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“…Both single and multiple Foley catheters have been used in the management of PPH 48 (Table 1, Figures 1 and 2). In one case, despite uterine curette and failed uterine packing using dry sterile gauze, five Foley catheters were inserted into the uterine cavity.…”

Section: Foley Cathetersmentioning

confidence: 99%

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Balloon tamponade in the management of postpartum haemorrhage: a review

Georgiou

2009

BJOG

255

209

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Obstetric haemorrhage is a significant contributor to worldwide maternal morbidity and mortality. Guidelines for the management of postpartum haemorrhage (PPH) involve a stepwise escalation of pharmacological and eventual surgical approaches. The method of uterine tamponade using balloons has recently been added to the armamentarium for managing PPH. There are various balloons available including the Bakri, Foley, Sengstaken–Blakemore, Rusch and condom catheter. This paper reviews these uterine tamponade technologies in the management of PPH.

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Section: Foley Cathetersmentioning

confidence: 99%

“…48 Multiple urinary Foley catheters were inserted together with a 'haemostatic substance' applied to the oozing inner surface of the lower uterine segment to function as a 'haemostatic cushion'. The uterine incision site was then closed, and each of the balloons was inflated with 35-75 cm 3 of saline or water.…”

Section: Bakri Balloonmentioning

confidence: 99%

Balloon tamponade in the management of postpartum haemorrhage: a review

Georgiou

2009

BJOG

255

209

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“…These include the purpose-designed Bakri balloon, as well as the relatively inexpensive Foley and Condom catheters. [14][15][16][17][18][19] Others balloons that have been described previously in other cavity locations in which bleeding has been problematic have also been used. For example, the Sengstaken-Blakemore tube for the oesophagus and the Rusch balloon for the bladder.…”

Section: Introductionmentioning

confidence: 99%

Intraluminal pressure readings during the establishment of a positive ‘tamponade test’ in the management of postpartum haemorrhage

Georgiou

2010

BJOG

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Please cite this paper as: Georgiou C. Intraluminal pressure readings during the establishment of a positive ‘tamponade test’ in the management of postpartum haemorrhage. BJOG 2010;117:295–303. Objective To investigate the proposed mechanism by which intrauterine balloons achieve their tamponade effect of creating an ‘intrauterine pressure that is greater than the systemic arterial pressure’. Design To determine the intraluminal pressures within a Bakri balloon during the establishment of a positive ‘tamponade test’ in the management of postpartum haemorrhage. To correlate these intraluminal pressures with contemporaneous readings of blood pressure recordings as documented from the operating theatre anaesthetic charts. Setting An obstetric unit (approximately 2400 births) in Wollongong, New South Wales, Australia. Sample Two women in whom first‐line uterotonics were unsuccessful and who required a Bakri balloon to control postpartum haemorrhage secondary to an atonic uterus. Methods A DigiMano (Netech Corporation, Farmingdale, NY, USA) pressure recorder was attached via a three‐way tap to a Bakri balloon. Anaesthetic charts of the two cases were reviewed retrospectively. Main outcome measures Intraluminal pressure readings were recorded after each 50‐ml aliquot of normal saline had been insufflated into the balloon whilst the next aliquot was being prepared. Results There is a curvilinear relationship between the intraluminal pressure and the balloon volume. The pressure does not exceed the systolic blood pressure of the patient at the time of establishment of a positive tamponade test. Conclusions The intraluminal pressure within the tamponade balloon does not exceed the systolic blood pressure of the patient when a positive tamponade test is established.

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“…A conservative approach for placenta prae via accreta is usually only possible if it in volves a limited area of the placenta [2,10,11,13,23,33]. One of these approaches consists in delivering as much of the placenta as possi ble, and using oxytocin to control bleeding or uterine packing [9].…”

Section: Discussionmentioning

confidence: 99%

The Aftermath of Scarred Uterus: Placenta praevia accreta of Different Grades

Makhseed¹,

El-Tomi²

1992

Med Princ Pract

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There is a well-known association between repeated cesarean sections and placenta praevia accreta. Bladder invasion is a rare, advanced grade of this type of placenta that represents a tremendous hazard to both the mother and fetus. Two patients with placenta praevia accreta are reported here as well as general statistics of the incidence of placenta accreta at Kuwait’s Maternity Hospital. One case, managed conservatively, had a good outcome, while the other case with placenta percreta invading the bladder died. Also included is a review of the literature with special emphasis on antenatal diagnosis, intraoperative and postoperative management. The treatment of such cases, varying from a conservative approach to a radical approach, is guided by the severity of placental involvement, the grade of placental invasion, and the clinical experience of the surgeon. In either approach, the aim is to control bleeding and maintain continuous support to the quickly depleting intravascular volume secondary to the profuse hemorrhage.

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Uterine tamponade‐drain for hemorrhage secondary to placenta previa‐accreta

Cited by 65 publications

References 1 publication

Balloon tamponade in the management of postpartum haemorrhage: a review

Balloon tamponade in the management of postpartum haemorrhage: a review

Intraluminal pressure readings during the establishment of a positive ‘tamponade test’ in the management of postpartum haemorrhage

The Aftermath of Scarred Uterus: Placenta praevia accreta of Different Grades

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