TY - JOUR
T1 - How Learning from Trauma Benefits the Obstetric Population? Damage Control Surgery
AU - Vidarte, María Fernanda Escobar
AU - Nasner, Daniela
AU - Nieto-Calvache, Albaro José
AU - Echavarría, María Paula
AU - Carvajal, Javier Andrés
N1 - Publisher Copyright: © 2023 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/10/1
Y1 - 2023/10/1
N2 - The recent implementation of trauma-validated damage control strategies in severe postpartum hemorrhage proves the importance of interdisciplinary management in the obstetric patient. Massive hemorrhage control techniques and damage control surgery are clear examples of how learning from trauma can benefit the obstetric population. Currently, most obstetric programs do not include training in this type of interventions. Nevertheless, it has been shown that these interventions are useful in the management of severe postpartum hemorrhage. The aim of this article is to introduce the application of damage control surgery principles in the management of massive obstetric hemorrhage. We propose to include appropriate training and the implementation of damage control surgery in obstetric management protocols. The prompt application of damage control principles can be considered in patients with persistent hemodynamic instability despite control of the source of bleeding.
AB - The recent implementation of trauma-validated damage control strategies in severe postpartum hemorrhage proves the importance of interdisciplinary management in the obstetric patient. Massive hemorrhage control techniques and damage control surgery are clear examples of how learning from trauma can benefit the obstetric population. Currently, most obstetric programs do not include training in this type of interventions. Nevertheless, it has been shown that these interventions are useful in the management of severe postpartum hemorrhage. The aim of this article is to introduce the application of damage control surgery principles in the management of massive obstetric hemorrhage. We propose to include appropriate training and the implementation of damage control surgery in obstetric management protocols. The prompt application of damage control principles can be considered in patients with persistent hemodynamic instability despite control of the source of bleeding.
KW - Critical care
KW - Damage control
KW - Maternal mortality
KW - Obstetric hemorrhage
KW - Postpartum hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=85175869965&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/FM9.0000000000000153
DO - https://doi.org/10.1097/FM9.0000000000000153
M3 - Article
SN - 2096-6954
VL - 5
SP - 248
EP - 252
JO - Maternal-Fetal Medicine
JF - Maternal-Fetal Medicine
IS - 4
ER -