Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics

The use of modern blood-saving technologies is one of the effective methods of preventing intra-operative bleeding in obstetric practice, however, the effect of local use of terlipressin to reduce blood loss is not sufficiently investigated.The objective: to assess the efficacy of local preventive u...

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Main Authors: Yu. S. Аleksandrovich, A. V. Rostovtsev, E. S. Kononova, K. V. Pshenisnov, T. I. Аkimenko
Format: Article
Language:Russian
Published: New Terra Publishing House 2020-09-01
Series:Вестник анестезиологии и реаниматологии
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Online Access:https://www.vair-journal.com/jour/article/view/453
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author Yu. S. Аleksandrovich
A. V. Rostovtsev
E. S. Kononova
K. V. Pshenisnov
T. I. Аkimenko
author_facet Yu. S. Аleksandrovich
A. V. Rostovtsev
E. S. Kononova
K. V. Pshenisnov
T. I. Аkimenko
author_sort Yu. S. Аleksandrovich
collection DOAJ
description The use of modern blood-saving technologies is one of the effective methods of preventing intra-operative bleeding in obstetric practice, however, the effect of local use of terlipressin to reduce blood loss is not sufficiently investigated.The objective: to assess the efficacy of local preventive use of low doses of terlipressin to reduce of intra-operative blood loss in the cesarean section.Subjects and methods. 105 women who underwent the cesarean section under spinal anesthesia were examined. They were divided into 3 groups depending on the administered dose of terlipressin: Group 1 (n = 35) ‒ 0.2 mg, Group II (n = 35) ‒ 0.4 mg, Group III (n = 35) ‒ control one. The swab-weighing method was used to assess blood loss.Results. In Group I, the blood loss made 6.9% of the total blood volume, in Group II ‒ 7.7%, and in Group III ‒ 13.3%. The frequency of hemotransfusion in Group I was ‒ 0%, in II ‒ 2.9%, in III ‒ 14.3%. No complications and side effects associated with terlipressin use were observed.Conclusion. The use of low doses of terlipressin for prevention purposes has a sufficiently pronounced clinical effect and is not accompanied by any complications.
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spelling doaj-art-e2cedc983fb240f1b9d84f375d9f1a492025-08-20T03:18:55ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532020-09-01174788410.21292/2078-5658-2020-17-4-78-84395Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetricsYu. S. Аleksandrovich0A. V. Rostovtsev1E. S. Kononova2K. V. Pshenisnov3T. I. Аkimenko4St. Petersburg State Pediatric Medical UniversityVoronezh Regional Clinical Hospital no.1Voronezh Regional Clinical Hospital no.1St. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversityThe use of modern blood-saving technologies is one of the effective methods of preventing intra-operative bleeding in obstetric practice, however, the effect of local use of terlipressin to reduce blood loss is not sufficiently investigated.The objective: to assess the efficacy of local preventive use of low doses of terlipressin to reduce of intra-operative blood loss in the cesarean section.Subjects and methods. 105 women who underwent the cesarean section under spinal anesthesia were examined. They were divided into 3 groups depending on the administered dose of terlipressin: Group 1 (n = 35) ‒ 0.2 mg, Group II (n = 35) ‒ 0.4 mg, Group III (n = 35) ‒ control one. The swab-weighing method was used to assess blood loss.Results. In Group I, the blood loss made 6.9% of the total blood volume, in Group II ‒ 7.7%, and in Group III ‒ 13.3%. The frequency of hemotransfusion in Group I was ‒ 0%, in II ‒ 2.9%, in III ‒ 14.3%. No complications and side effects associated with terlipressin use were observed.Conclusion. The use of low doses of terlipressin for prevention purposes has a sufficiently pronounced clinical effect and is not accompanied by any complications.https://www.vair-journal.com/jour/article/view/453cesarean sectionblood lossterlipressinobstetric bleedingprevention
spellingShingle Yu. S. Аleksandrovich
A. V. Rostovtsev
E. S. Kononova
K. V. Pshenisnov
T. I. Аkimenko
Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics
Вестник анестезиологии и реаниматологии
cesarean section
blood loss
terlipressin
obstetric bleeding
prevention
title Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics
title_full Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics
title_fullStr Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics
title_full_unstemmed Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics
title_short Efficacy of low doses of terlipressin to prevent intra-operative blood loss in obstetrics
title_sort efficacy of low doses of terlipressin to prevent intra operative blood loss in obstetrics
topic cesarean section
blood loss
terlipressin
obstetric bleeding
prevention
url https://www.vair-journal.com/jour/article/view/453
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AT avrostovtsev efficacyoflowdosesofterlipressintopreventintraoperativebloodlossinobstetrics
AT eskononova efficacyoflowdosesofterlipressintopreventintraoperativebloodlossinobstetrics
AT kvpshenisnov efficacyoflowdosesofterlipressintopreventintraoperativebloodlossinobstetrics
AT tiakimenko efficacyoflowdosesofterlipressintopreventintraoperativebloodlossinobstetrics