Blood salvage managed a critical hemorrhage during cesarean section with uterine rupture accompanied with placenta accreta

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  • Kawaguchi Yoko
    Department of Anesthesiology, Hirosaki University Graduate School of Medicine
  • Hashiba Eiji
    Department of Anesthesiology, Hirosaki University Graduate School of Medicine
  • Kitayama Masatou
    Department of Anesthesiology, Hirosaki University Graduate School of Medicine
  • Hirota Kazuyoshi
    Department of Anesthesiology, Hirosaki University Graduate School of Medicine

Bibliographic Information

Other Title
  • 大量出血を呈した子宮破裂合併帝王切開術において回収式自己血を用いた１例
  • <Case Study> BLOOD SALVAGE MANAGED A CRITICAL HEMORRHAGE DURING CESAREAN SECTION WITH UTERINE RUPTURE ACCOMPANIED WITH PLACENTA ACCRETA
  • Case study: Blood salvage managed a critical hemorrhage during cesarean section with uterine rupture accompanied with placenta accrete

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Abstract

    A 30-year-old woman underwent an emergency cesarean section because of fetal distress involved uterine rupture. As the placenta was firmly adhered to the uterine wall, following safe delivery, it took over one hour and more than 10000 ml blood loss until the placenta was removed. Additional blood was ordered, but there was delay in delivery. Bleeding was extremely beyond our estimation, and hardly controlled despite of transfusing 1400 ml of prepared blood. With stopping operation and continuing hyperoxic ventilation, we decided to start intraoperative blood salvage. Though hemoglobin, platelet, and base excess decreased to 2.7 g/dl, 1000/μl, and -11.2, hemodynamics could be maintained with use of a blood salvage system. Salvaged blood was very helpful to manage critical hemodilution until additional blood was reached. Overall estimated blood loss was 20190 ml and massive blood transfusion was needed. The patient emerged from anesthesia with no neurological complication. Rarely but actually cesarean section resulted in life-threatening hemorrhage. Blood salvage systems is safe and useful during cesarean section. Blood salvage should be usually considered one of the suitable choices in cesarean section patients when supply of homologous blood is limited.

Journal

  • Hirosaki Medical Journal

    Hirosaki Medical Journal 61 (2-4), 159-162, 2011

    Hirosaki University Graduate School of Medicine,Hirosaki Medical Society

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