Anesthetic Management of Atonic Postpartum Hemorrhage with Hemorrhagic Shock and Impending Cardiac Arrest for Emergency Peripartum Hysterectomy.

ABSTRACT

Postpartum hemorrhagic complication is a critical situation for an anesthesiologist. This situation requires timely and skilful anesthetic management. A massive postpartum bleeding leading to severe hypovolemic shock may result in life-threatening cardiopulmonary arrest. The treatment of postpartum hemorrhage (PPH) has two components First, resuscitation and control of bleeding and second, identification and management of underlying cause. Here is a case report of a 20-year-old with atonic PPH resulting in hypovolemic shock and impending cardiac arrest and successful anesthetic management for emergency peripartum hysterectomy to save the life of the patient.