Evidence map›Paper›PMID 28499381›Full record

ArticleReproductive health2017

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.

María Fernanda Escobar, Carlos Eduardo Füchtner, Javier Andrés Carvajal, Albaro José Nieto, Adriana Messa, Sara Sofía Escobar, Angélica María Monroy, Angélica María Forero, José David Casallas, Marcela Granados and 1 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. FIGO recommendations on the management of postpartum hemorrhage 2022.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

María Fernanda EscobarDepartment of Gynecology and Obstetrics, Fundación Clínica Valle del Lili, Universidad ICESI, Cali, Colombia. mayaev@hotmail.com.
Carlos Eduardo FüchtnerDepartment of Infertility, Reproductive Health Center, Universidad ICESI, Cali, Colombia.
Javier Andrés CarvajalDepartment of Gynecology and Obstetrics, Fellow of Intensive Care Unit, Fundación Clínica Valle del Lili, Cali, Colombia.
Albaro José NietoDepartment of Gynecology and Obstetrics, Fundación Clínica Valle del Lili, Universidad ICESI, Cali, Colombia.
Adriana MessaDepartment of Gynecology and Obstetrics, Fundación Clínica Valle del Lili, Universidad ICESI, Cali, Colombia.
Sara Sofía EscobarDepartment of Health Sciences, Medicine School, Universidad ICESI, Fundación Clínica Valle del Lili, Cali, Colombia.
Angélica María MonroyDepartment of Health Sciences, Medicine School, Universidad ICESI, Fundación Clínica Valle del Lili, Cali, Colombia.
Angélica María ForeroClinical Investigation Centre, Department of Gynecology and Obstetrics, Fundación Clínica Valle del Lili, Cali, Colombia.
José David CasallasClinical Investigation Centre, Department of Gynecology and Obstetrics, Fundación Clínica Valle del Lili, Cali, Colombia.
Marcela GranadosInternal Medicine, Intensive Care Unit, Fundación Clínica Valle del Lili, Cali, Colombia.
Suellen MillerSafe Motherhood Programs, Department of Obstetrics, Gynecology & reproductive Sciences, Bixby Center for Global Reproductive Health and Policy School of Medicine, University of California, San Francisco (UCSF), San Francisco, USA.
Fundación Valle del Lili · COIcesi University · COUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsDescriptive 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.

resultsFifty-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 < 1.0 in the first hour. The NASG was not removed until definitive control of bleeding was achieved, with an average time of use of 24 h. There were no mortalities.

conclusionsIn 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.

Indexed as

ClothingGravity SuitsAdolescentAdultColombiaEmergenciesFemaleHumansHypovolemiaMotion Therapy, Continuous PassiveObstetric Surgical ProceduresPostpartum HemorrhagePregnancyPregnancy OutcomeRetrospective StudiesShockEmergency treatmentGravity suitsHypovolemic shockPostpartum haemorrhage

Identifiers

PMID28499381
PMCPMC5427550
OpenAlexW2613036502

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.