Re: SOS Bakri Tamponade Ballon
From: Farouk Fikry (farouk2@menanet.net)
Sat Apr 9 07:07:35 2005
Had a similar case of post-partum hemorrhage, A single Foley's catheter
insertion was life saving. Hope this device is available for international
use.
Dr. Farouk Fikry
>----- Original Message -----
From: "Elrod Darryl G MAJ 48 MDOS/SGOBO" <Darryl.elrod@LAKENHEATH.AF.MIL>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
Sent: Saturday, April 09, 2005 10:46 AM
Subject: Re: SOS Bakri Tamponade Ballon
>I just sent the link off to our L&D chief. It looks way easier than
> pushing 2-3 foleys in like I did the last time this happened to me.
>
> Thanks for the link.
>
> Glen
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> ainsron
> Sent: Friday, April 08, 2005 8:36 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: RE: SOS Bakri Tamponade Ballon
>
> Hadn't seen them before, but looks like a good tool to have in the
> arsenal!
> I plan to talk to OR and OB about ordering them.
>
> Ronald E. Ainsworth
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R.
> Daniel
> Braun
> Sent: Friday, April 08, 2005 11:12 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: SOS Bakri Tamponade Ballon
>
> Interesting case last night. 24 Y/O G4 P3012 at 37 weeks. Has Chronic
> hypertension ands developed superimposed pre-eclampsia. Prior C/S for
> breech. Hence taken for repeat C/S. Section progressed without
> problems except that we weren't totally happy with uterine
> contractions post delivery but not bleeding. Started on Mag SO4 after
> delivery. 1 hour later, she had a "Seizure" however no postictal state
> and BP 70/30 with pulse of 124. HGB 6 was 9 preop. Blood started and
> US reveals lge amount of Clot? Placenta? ????? in uterus. Platelets
> now 40 K were 200K prior to C/S Fibrinogen 53 was 250.
> Taken to OR Suction curettage gets a lot(750-1000cc) of clot and
> bleeding stops for about 3 minutes. Sharp curette has same result.
> Has had hemabate and misoprostol and 120 units of pitocin. No evidence
> of laceration. Evil thoughts of hysterectomy in patient with clotting
> disorder begin to appear. However, Junior Faculty says "What about the
> Bakri catheter?"
> We got one out and tried it. bleeding slows down to mere trickle with
> none above the balloon. 14 hours later catheter removed and patient
> continues to do great.
>
> Seems to be a great alternative to packing or hyst. Even if she
> started to bleed again after removal, we would have bought time to
> clear up her coagulopathy. The link below is to a Powerpoint
> presentation about it on the U. of Michigan's website. I think it
> ought to be available to people in case they get in a similar
> situation
> In our case, we couldn't have packed the uterus because the cervix
> wasn't dilated enough.
>
> http://www.med.umich.edu/obgyn/resdir/protocols/sosbakri.ppt#256,1,SOS
>
> --
> R. Daniel Braun
> Kinky for Governor
>
