Prevention, the algorithm of reference, anesthesia and intensive care for postpartum hemorrhage. Guidelines
ISSN (print) 1726-9806     ISSN (online) 1818-474X
#2019-3
PDF_2019-3_9-33 (Russian)
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Keywords

obstetrics
uterine atony
hemorrhagic shock
hemostatic therapy
DIC
infusion-transfusion therapy
coagulopathy
coagulation disorders
postpartum hemorrhage
vaginal laceration
uterotonic agents

How to Cite

1.
Shifman E.M., Kulikov A.V., Ronenson A.M., Abazova I.S., Adamyan L.V., Andreeva M.D., Artymuk N.V., Baev O.R., Barinov S.V., Belokrinitskaya T.E., Blauman S.I., Bratishchev I.V., Bukhtin A.A., Vartanov V.Y., Volkov A.B., Gorokhovskiy V.S., Dolgushina N.V., Drobinskaya A.N., Kinzhalova S.V., Kitiashvili I.Z., Kogan I.Y., Korolev A.Y., Krasnopolskii V.I., Kukarskaya I.I., Kurcer M.A., Marshalov D.V., Matkovskiy A.A., Ovezov A.M., Penzhoyan G.A., Pestrikova T.Y., Petruhin V.A., Prihodko A.M., Protopopova N.V., Protsenko D.N., Pyregov A.V., Raspopin Y.S., Rogachevskiy O.V., Ryazanova O.V., Savelyeva G.M., Semenov Y.A., Sitkin S.I., Fatkullin I.F., Fedorova T.A., Filippov O.S., Shvechkova M.V., Shmakov R.G., Shchegolev A.V., Zabolotskikh I.B. Prevention, the algorithm of reference, anesthesia and intensive care for postpartum hemorrhage. Guidelines. Annals of Critical Care. 2019;(3):9-33. doi:10.21320/1818-474X-2019-3-9-33

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Abstract

The article observes the main provisions of the clinical recommendations for prevention, anesthesia and intensive care for postpartum hemorrhage. The main risk factors, possible complications, principles of clinical and laboratory diagnosis in this pathology are consistently presented. Particular attention is paid to issues of infusion, transfusion therapy and correction of coagulopathic disorders. The problems of estimating the amount of blood loss, diagnosing disorders of the hemostatic system, regulation of hemodynamics in hemorrhagic shock are discussed. The use of recombinant coagulation factors in coagulopathy on the background of massive blood loss has been substantiated.
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