Anaes Vivas · Obstetric anaesthesia
Postpartum haemorrhage: uterotonic ladder, tranexamic acid, and massive obstetric haemorrhage — viva
Structured oral examination station for obstetric-haemorrhage-pph.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Delivery suite emergency board: blood loss 2.2 L, BP 80/40, uterus boggy. Drug drawer with oxytocin, ergometrine, carboprost, TXA.
Opening
Define major/massive PPH and list 4 Ts.
References5ShowHide
- [1]WOMAN Trial Collaborators Effect of early tranexamic acid administration on mortality in women with post-partum haemorrhage (WOMAN). Lancet, 2017.PMID 28456509
- [2]Mushambi MC, Kinsella SM, Popat M, et al. Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia, 2015.PMID 26449292
- [3]Frerk C, Mitchell VS, McNarry AF, et al. DAS 2015 guidelines for unanticipated difficult intubation in adults. British Journal of Anaesthesia, 2015.PMID 26556848
- [6]Charbit B, et al. The decrease of fibrinogen is an early predictor of the severity of postpartum hemorrhage. J Thromb Haemost, 2007.PMID 17087729
- [12]Günaydın B Management of Postpartum Haemorrhage. Turk J Anaesthesiol Reanim, 2022.PMID 36511487