title: [Traumatic abruption of the placenta with disseminated intravascular coagulation].
abstract: Trauma in pregnancy is infrequent and a systematic primary strategy constitutes a real challenge for the interdisciplinary team. With a high fetal mortality rate and a substantial maternal mortality rate traumatic placental abruption is a severe emergency which every anesthetist should be aware of. After hemodynamic stabilization of the mother and control of the viability of the fetus the therapy of traumatic placental abruption consists mostly of an immediate caesarean section. Coagulopathy by depletion of coagulation factors as well as disseminated intravascular coagulation (DIC) have to be expected and consequently a massive blood loss must be anticipated. Thrombelastography provides assistance for fast differential diagnosis and goal-directed treatment of the disturbed sections of the coagulation cascade.
authors.affiliation: Klinik für Anästhesie, chirurgische Intensivmedizin, Rettungsmedizin und Schmerztherapie, Luzerner Kantonsspital, 6000, Luzern 16, Schweiz. romedi.benz@luks.ch
authors.forename: R
authors.initials: R
authors.lastname: Benz
authors.forename: A-U
authors.initials: AU
authors.lastname: Malär
authors.forename: J
authors.initials: J
authors.lastname: Benz-Wörner
authors.forename: M
authors.initials: M
authors.lastname: Scherer
authors.forename: M
authors.initials: M
authors.lastname: Hodel
authors.forename: A
authors.initials: A
authors.lastname: Gähler
authors.forename: C
authors.initials: C
authors.lastname: Haberthür
authors.forename: C
authors.initials: C
authors.lastname: Konrad
mesh_terms: D000037:Abruptio Placentae / Q000209:etiology / Q000628:therapy*; D000328:Adult; D001777:Blood Coagulation / Q000502:physiology; D001780:Blood Coagulation Tests; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006439:Hemodynamics; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D019990:Perioperative Care; D011247:Pregnancy; D011300:Preoperative Care; D013916:Thrombelastography; D014947:Wounds and Injuries / Q000150:complications*