Point-of-Care Viscoelastic Testing Improves the Outcome of Pregnancies Complicated by Severe Postpartum Hemorrhage. Issue 2 (June 2018)

• Record Type: Journal Article
• Authors: Snegovskikh, D.; Souza, D.; Walton, Z.; Dai, F.; Rachler, R.; Garay, A.; Snegovskikh, V.V.; Braveman, F.R.; Norwitz, E.R.
• Is Part Of: Obstetric anesthesia digest. Volume 38:Issue 2(2018)
• Publication Date: 2018-06
• Subjects: Obstetric Hemorrhage -- Obstetric Complications -- Systems-based Practice; Anesthesia in obstetrics -- Periodicals; Anesthesia in obstetrics -- Abstracts -- Periodicals; 617.968205
• DOI: 10.1097/01.aoa.0000532275.59978.32
• Languages: English
• ISSNs: 0275-665X

Abstract

Abstract : ( J Clin Anesth . 2018;44:50–56) Standardized hospital protocols that address severe postpartum hemorrhage (PPH), or estimated blood loss >1500 mL following delivery, generally follow principles of empiric resuscitation, favoring early transfusion of high volumes of fresh frozen plasma, packed red blood cells, and platelets. However, it has been suggested that blood product resuscitation should be individualized and adjusted according to the results of point-of-care viscoelastic testing (PCVT). In the present study, the authors compared clinical outcomes [volume of transfused blood products, rate of volume overload, and rate of intensive care unit (ICU) admission] and hospital costs for patients with severe PPH managed with and without PCVT-guided transfusion protocol.