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authors concluded that the Bakri balloon tamponade is "a simple, readily available, effective and safe procedure" in the management of postpartum hemorrhage. The research also indicates that BBT is able to provide practitioners with "time for other interventions or transportation from local hospital to tertiary centre". The authors of the study recommend BBT be included in the PPH protocol.
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The Bakri balloon tamponade (BBT), designed for postpartum hemorrhage, is an effective life-saving balloon. A recent study involving 50 cases was carried out by the department of
Obstetrics and Gynecology at University Central Hospital in Helsinki, Finland. With an overall success rate of 86%, the
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An alternative to the Bakri is the BT-Cath (balloon-tamponade catheter) which has an easy-fill system allowing single person inflation and saving time in the theatre setting. The BT-Cath is more pear-shaped and contours to the uterus more easily than the Bakri.
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A low-cost alternative is a condom balloon tamponade, a form of intrauterine tamponade, created from a catheter, a male latex condom, and a string to tie the condom to the catheter. The method was developed in
Bangladesh in 2001 by
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in the uterus successfully treats atonic postpartum hemorrhage refractory to medical management in approximately 80% of cases. Such procedure is relatively simple, inexpensive and has low surgical morbidity. A
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Grönvall, M; Tikkanen, M; Tallberg, E; Paavonen, J; Stefanovic, V (2013). "Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: A series of 50 cases from a tertiary teaching hospital".
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Doumouchtsis, S. K.; Papageorghiou, A. T.; Vernier, C.; Arulkumaran, S. (2008). "Management of postpartum hemorrhage by uterine balloon tamponade: Prospective evaluation of effectiveness".
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104:, with three lumens (two balloons and a gastric aspiration port). Pressure can be applied to gastric and esophageal varices by balloon inflation and traction.
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and has since been supported by health workers worldwide as an effective method to stop postpartum hemorrhage, particularly in low-resource settings.
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Balloon tamponade is considered a bridge to more definitive treatment modalities, and is usually administered in the emergency department or in the
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Akhter, S; Begum, M. R.; Kabir, Z; Rashid, M; Laila, T. R.; Zabeen, F (2003). "Use of a condom to control massive postpartum hemorrhage".
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drains connected with esophageal port, to enable inflating the balloon with correct pressure.
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is a balloon tamponade specifically constructed for uterine postpartum hemorrhage.
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setting, due to the illness of patients and the complications of the procedure.
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Chapter 89 - Balloon tamponade and uterine packing for major PPH
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Resuscitative endovascular balloon occlusion of the aorta
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In the uterus, balloon tamponade can alleviate or stop
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261:from South Australia, Department of Health. 2005
30:Scheme of using the Blakemore tube. There are
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211:Acta Obstetricia et Gynecologica Scandinavica
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567:Digestive system procedures
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138:Sengstaken–Blakemore tube
114:Minnesota four-lumen tube
101:Sengstaken–Blakemore tube
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534:Therapeutic irrigation
397:Cardiothoracic surgery
507:Incision and drainage
134:postpartum hemorrhage
459:Reproductive surgery
91:Esophagus or stomach
136:(PPH). Inflating a
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500:General procedures
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427:Orthopedic surgery
402:Colorectal surgery
257:2016-04-08 at the
95:Examples include:
71:inserted into the
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217:(8): 849–855.
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108:Linton tube
572:Obstetrics
561:Categories
517:Intubation
179:References
87:bleeding.
85:refractory
522:Tamponade
512:Endoscopy
484:Andrology
329:(3): 38.
323:MedGenMed
73:esophagus
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308:22913383
255:Archived
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167:See also
69:balloons
41:ICD-9-CM
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376:Surgery
77:stomach
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128:Uterus
81:uterus
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