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Thieme Open, American Journal of Perinatology Reports, 02(1), p. 119-122

DOI: 10.1055/s-0031-1293514

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Lifesaving Intraosseous Access in a Patient with a Massive Obstetric Hemorrhage

Journal article published in 2011 by Joey de Vogel, Roger Heydanus, Annemarie G. M. Mulders, Dina J. C. Smalbraak, Dimitri N. M. Papatsonis, Bastiaan M. Gerritse ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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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.