title: Management of Hemorrhage During Gynecologic Surgery.
abstract: Surgical blood loss of >1000 mL or blood loss that requires a blood transfusion usually defines intraoperative hemorrhage. Intraoperative hemorrhage has been reported in 1% to 2% of hysterectomy studies. Cardiovascular instability with significant hypotension often results from a loss of 30% to 40% of the patient's blood volume and >40% blood loss is life threatening. Preparation, planning, and practicing for a massive hemorrhage is essential for all surgeons and gynecologic operating room teams. Emergency steps should be written and posted in the operating room and rehearsed quarterly.
authors.affiliation: Departments of *Obstetrics and Gynecology, David Geffen School of Medicine, Division of Minimally Invasive Surgery †Obstetrics and Gynecology, David Geffen School of Medicine, Division of Gynecologic Oncology, UCLA School of Medicine, Los Angeles, California.
authors.forename: Steve P
authors.initials: SP
authors.lastname: Yu
authors.forename: Joshua G
authors.initials: JG
authors.lastname: Cohen
authors.forename: William H
authors.initials: WH
authors.lastname: Parker
mesh_terms: D000740:Anemia / Q000628:therapy; D021721:Balloon Occlusion; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006488:Hemostasis, Surgical / Q000379:methods*; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008026:Ligation; D008487:Medical History Taking; D059065:Medication Reconciliation; D057725:Operative Blood Salvage; D057234:Preoperative Period; D018570:Risk Assessment; D065227:Transfusion Reaction; D055988:Uterine Artery
chemical_list: D006490:Hemostatics