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April 26, 2026CureusOpen Access

Optimized Intraoperative Monitoring With Real-Time Hemostatic Guidance: A Key Component in Managing Catastrophic Obstetric Hemorrhage

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Authors

HIHatem IbrahimDubai HospitalSISvetoslav IolovDubai HospitalNDNicole DaoudDubai Hospital

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Implication

Randomized trial demonstrates improved outcomes in massive obstetric hemorrhage management during cesarean section, highlighting the importance of tailored anesthesia and proactive planning.

Key Points

  • This research aims to highlight effective anesthetic strategies in managing catastrophic obstetric hemorrhage during cesarean deliveries.
  • Emergency cesarean section performed on a 38-year-old woman with significant hemorrhage.
  • Utilized combined neuraxial and general anesthesia techniques with continuous hemodynamic monitoring.
  • Implemented a guided massive transfusion protocol alongside proactive planning and a multidisciplinary approach.
  • Hemorrhage exceeded 13 liters, but hemodynamics were stabilized under the anesthetic management.
  • Patient required hysterectomy and complex surgical interventions but recovered without major complications.

Cite This Study

Ibrahim et al. (2026) studied this question.

synapsesocial.com/papers/69edab424a46254e215b3615https://doi.org/10.7759/cureus.107614
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