Intraluminal Pressure Difference of Bakri Balloon in the positive Tamponade test During the Management of severe Post-Partum Hemorrhage

Liang Bai

doi:10.26717/bjstr.2019.15.002735

Abstract

Hong Li1, Tong Yu Bai2, Liang Bai*3, Rong Li Yang4, Xiao Guang Shao1 and Xiuhua Xu1 Author Affiliations 1Department of Obstetric, The Women and Children Center of Da Lian, China 2The Thirteenth High Middle School of Da Lian, China 3Department of Oral Maxillofacial Surgery, China 4ICU Department, China Received: February 02, 2019 | Published: March 08, 2019 Corresponding author: Li J, International Centre for Bamboo and Rattan, China DOI: 10.26717/BJSTR.2019.15.002735

Highlights

Bakri balloon tamponade has been widely used in the management of postpartum hemorrhage recently, with the efficacy is 70%-90% [1]
C Georgiou[2] detected pressure generated by the Bakri balloons in two postpartum hemorrhage patients, he got the conclusion that intraluminal pressure within tamponade balloon did not exceed the systolic blood pressure of the patient when a positive tamponade test was established
There is no fluctations in intraluminal pressure (ILPs) when the balloon was allowed to stand for 2 hours. when an external compressive force was applied, such as squeezing the balloon by hand, the ILP increased as expected

Summary

Introduction

Bakri balloon tamponade has been widely used in the management of postpartum hemorrhage recently, with the efficacy is 70%-90% [1]. There are a few papers involved the measurement of luminal pressure of a variety of balloons in vitro or in vivo. C Georgiou[2] detected pressure generated by the Bakri balloons in two postpartum hemorrhage patients, he got the conclusion that intraluminal pressure within tamponade balloon did not exceed the systolic blood pressure of the patient when a positive tamponade test was established. We detected and monitored the intrauterine intraluminal pressure (ILPs) within a Bakri balloon every two hours after achieving a positive tamponade test in 30 postpartum hemorrhage patients , recorded the patients’ blood pressure and the amount of blood loss, measured and compared the difference of the ILPs in vivo and in vitro, the aim was to find the optimal inflation liquid volume of filling the Bakri balloon to establish a positive tamponade test, and to explain the working rationale of Bakri balloon about intraluminal pressure

Methods

Results

Conclusion