ArticleCureus2026
Optimized Intraoperative Monitoring With Real-Time Hemostatic Guidance: A Key Component in Managing Catastrophic Obstetric Hemorrhage.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
Massive obstetric hemorrhage is a leading cause of maternal morbidity, especially in placenta accreta spectrum (PAS) cases. We report the anesthetic management of a 38-year-old woman undergoing emergency cesarean section complicated by hemorrhage exceeding 13 liters. Preoperative planning included risk assessment, blood product preparation, and a multidisciplinary approach. Intraoperatively, anesthesia was managed with combined neuraxial and general techniques, continuous hemodynamic monitoring, and a guided massive transfusion protocol. Despite the need for hysterectomy and complex surgical interventions, the patient's hemodynamics were stabilized, and she recovered without major complications. This case emphasizes the importance of individualized anesthesia strategies, proactive transfusion planning, and teamwork in managing high-risk obstetric emergencies. It illustrates how meticulous anesthetic management can improve outcomes in massive hemorrhage scenarios and provides a practical framework for clinicians facing similar high-stakes cesarean deliveries.
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