Optimization of oxygen delivery in a Jehovah's Witness with severe anaemia after postpartum haemorrhage

被引：4
作者：
Simmons, LaVone [1 ]
Stephenson-Famy, Alyssa [1 ]
Easterling, Thomas [1 ]
机构：
[1] Univ Washington, Med Ctr, Dept Obstet & Gynecol, Box 356460,1959 Pacific St NE, Seattle, WA 98195 USA
来源：
OBSTETRIC MEDICINE | 2012年 / 5卷 / 01期
关键词：
postpartum haemorrhage; ScvO(2); blood product refusal;
D O I：
10.1258/om.2011.110043
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
The delivery of a 25-year-old Jehovah's Witness was complicated by postpartum haemorrhage with a nadir haematocrit of 3%. To improve oxygen delivery without blood transfusion, FiO(2) was increased to maximize dissolved oxygen delivery. Central venous oxygen saturation was used to assess tissue oxygenation. When blood products are refused, successful management of severe anaemia is possible with supportive medical care to achieve haemostasis, optimize oxygen delivery and promote haematopoiesis.
引用
收藏
页码：39 / 41
页数：3
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