Wash in large sterile basin gently, like a ‘delicates wash’. Then suck into cell salvage and process.
Differentials of post-partum haemorrhage:
- Tone (uterine atony)
- Tissue (retained tissue, clots)
- Trauma (laceration, rupture, inversion)
- Thrombin (coagulopathy)
‘[During a radical cystectomy] if you being to think that your patient has bled a significant amount, then he [almost invariably] has.’ RP
Have at least 2 anaesthetists present for KTS/delivery of placenta.
RCOG guidelines require presence of consultant anaesthetist.
– Early surgical haemostasis.
– 1:1:1 for any transfusion requirement anticipated to be >6 units.
– Fibrinogen >2g/l.
– Tranexamic acid.
– As near normothermia as possible.
– normal pH
Blood volume = 80ml/kg
If loss >= 10% then use colloid or blood