Evidence map›Paper›PMID 37545867›Full record

ArticleAcute medicine & surgery

Uterine rupture successfully treated with a damage-control strategy of hysterectomy and resuscitative endovascular balloon occlusion of the aorta-assisted cardiopulmonary resuscitation.

Yutaro Okamoto, Kenichiro Ishida, Yosuke Matsumura, Yoshiaki Yoshikawa, Taku Sogabe, Yusuke Fujikami, Kenji Ban, Keiji Tatsumi, Mitsuo Ohnishi

Abstract readCase Reports
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

9 authors.

Yutaro OkamotoDepartment of Acute Medicine and Critical Care Medical Center Osaka National Hospital, National Hospital Organization Osaka Japan.
Kenichiro IshidaDepartment of Acute Medicine and Critical Care Medical Center Osaka National Hospital, National Hospital Organization Osaka Japan.ORCID https://orcid.org/0000-0002-1585-6069
Yosuke MatsumuraDepartment of Intensive Care Chiba Emergency Medical Center Chiba Japan.
Yoshiaki YoshikawaDepartment of Acute Medicine and Critical Care Medical Center Osaka National Hospital, National Hospital Organization Osaka Japan.
Taku SogabeDepartment of Acute Medicine and Critical Care Medical Center Osaka National Hospital, National Hospital Organization Osaka Japan.ORCID https://orcid.org/0000-0002-3560-3851
Yusuke FujikamiDepartment of Obstetrics and Gynecology Osaka National Hospital, National Hospital Organization Osaka Japan.
Kenji BanDepartment of Obstetrics and Gynecology Osaka National Hospital, National Hospital Organization Osaka Japan.
Keiji TatsumiDepartment of Obstetrics and Gynecology Osaka National Hospital, National Hospital Organization Osaka Japan.
Mitsuo OhnishiDepartment of Acute Medicine and Critical Care Medical Center Osaka National Hospital, National Hospital Organization Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Uterine rupture is a major cause of postpartum hemorrhage (PPH) that requires surgery. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is also helpful for PPH. However, the effectiveness of REBOA in PPH with cardiac arrest is unknown. Case Presentation: A 40-year-old woman developed hemorrhagic shock due to uterine rupture after an induced delivery. She developed cardiac arrest, but was rescued by cardiopulmonary resuscitation (CPR), REBOA, a hysterectomy, and pelvic gauze packing. The hemodynamics were too unstable to move to the operating room. Then we initiated the CPR assisted with REBOA and decided to activate massive transfusion and perform laparotomy in the emergency room. She was finally discharged home without neurological sequelae. Conclusion: Our damage control strategy, including REBOA-assisted CPR, contributed to saving the life of a patient with a life-threatening PPH.

Indexed as

damage controldisseminated intravascular coagulationpostpartum hemorrhageresuscitative endovascular balloon occlusion of the aortauterine rupture

Identifiers

PMID37545867
PMCPMC10400946

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.