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Balloon tamponade is the use of balloons inserted into the esophagus, stomach or uterus, and inflated to alleviate or stop refractory bleeding. Esophagus or stomach
Uterine balloon tamponade (UBT) is a non-surgical method of treating refractory postpartum hemorrhage. Once postpartum hemorrhage has been identified and medical management given (including agents such as uterotonics and tranexamic acid ), UBT may be employed to tamponade uterine bleeding without the need to pursue operative intervention.
Tamponade is a useful method of stopping a hemorrhage. This can be achieved by applying an absorbent dressing directly into a wound, thereby absorbing excess blood and creating a blockage, or by applying direct pressure with a hand or a tourniquet. Not to be confused with a tamponade that occurs as a result of health problems.
The Bakri balloon is a medical device invented and designed by Dr. Younes Noaman Bakri in 1999. [1] The obstetrical balloon is a 24 French, 54 cm-long, silicone catheter with a filling capacity of 500 mL. The device is used for the temporary control and reduction of postpartum hemorrhage (PPH).
A Sengstaken–Blakemore tube is a medical device inserted through the nose or mouth and used occasionally in the management of upper gastrointestinal hemorrhage due to esophageal varices (distended and fragile veins in the esophageal wall, usually a result of cirrhosis).
Left-sided tension pneumothorax. Note the area without lung markings which is air in the pleural space. Also note the tracheal and mediastinal shift from the patient's left to right. Causes include any obstruction of blood flow to and from the heart. There are multiple, including pulmonary embolism, cardiac tamponade, and tension pneumothorax.
When this occurs, a balloon placed anywhere in the gut has to be inflated or deflated very rapidly in order to maintain a constant pressure in this balloon. Barostat-balloon systems have been used anywhere in the gut, including the esophagus , [ 4 ] stomach , [ 5 ] small bowel , [ 6 ] colon , and the rectum ampulla .
In 2000, Akhter created a low-cost uterine balloon tamponade (UBT) from a catheter and a condom. [5] [6] At the time she created the UBT, around 40% of maternal deaths in Bangladesh occurred due to postpartum haemorrhage. [7] She created the UBT to prevent bleeding after childbirth and the total cost is less than $5.