Experience in the use of non-pneumatic anti-shock garment (NASG) in the management of postpartum haemorrhage with hypovolemic shock in the Fundación Valle Del Lili, Cali, Colombia

摘要

Background The aim of this case series is to describe the experience of using the?non-pneumatic anti-shock garment (NASG) in the management of severe?Postpartum hemorrhage?(PPH) and shock, and the value of implementing this concept in high-complexity obstetric hospitals. Methods Descriptive case series of 77 women that received NASG in the management of PPH with severe hypovolemic shock from June 2014 to December 2015. Vital signs, shock index (SI), the lactic acid value and the base deficit were compared before and after NASG application. Results Fifty-six (77%) women had an SI?>?1.1 at the time shock management was initiated; 96% had uterine atony. All women received standard does of uterotonics. The average time between the birth and NASG applications was 20?min. Forty-eight percent of women recovered haemodynamic variables in the first hour and 100% within the first 6?h; 100% had a SI?Conclusions In this case series of women in severe shock, the NASG was an effective management device for the control of severe hypovolemic shock. It should be considered a first-line option for shock management.