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Case Reports
. 2011 Dec;1(2):119-22.
doi: 10.1055/s-0031-1293514. Epub 2011 Nov 11.

Lifesaving intraosseous access in a patient with a massive obstetric hemorrhage

Joey de Vogel  1 , Roger Heydanus, Annemarie G M Mulders, Dina J C Smalbraak, Dimitri N M Papatsonis, Bastiaan M Gerritse
Affiliations
Case Reports

Lifesaving intraosseous access in a patient with a massive obstetric hemorrhage

Joey de Vogel et al. AJP Rep. 2011 Dec.

Abstract

A 42-year-old, gravida 1, para 0 woman was induced at a gestational age of 41 weeks because of post-term dates. The fourth stage of delivery was complicated by a massive hemorrhage. The uncontrollable persisting amount of blood loss led to hypovolemic shock and cardiopulmonary arrest. Lifesaving extra access was gained through an intraosseous needle in the proximal tibia. We therefore advocate including the use of an intraosseous needle as an additional route for intravascular volume replacement in case of peripartum hemorrhage.

Keywords: Intraosseous infusion; hypovolemic shock; massive obstetric hemorrhage; peripartum.

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Figures

Figure 1
Figure 1
(A–C) Intraosseous needle administration. (Figures reprinted with permission of Vidacare, San Antonio, Texas.)
Figure 2
Figure 2
Uterus after hysterectomy with the cervical laceration ending at the tip of the surgical forceps.
See this image and copyright information in PMC

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