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If other measures fail or are not available, esophageal balloon tamponade may be attempted.
In the uterus, balloon tamponade can alleviate or stop postpartum hemorrhage.
Variceal haemorrhage in cirrhotic patients carries a high early mortality even when balloon tamponade or emergency sclerotherapy are applied.
A Bakri balloon is a balloon tamponade specifically constructed for uterine postpartum hemorrhage.
If extensive and continuing bleeding precludes this, balloon tamponade should be considered, as this is highly effective and has a low complication rate in experienced hands.
Balloon tamponade usually refers to the use of balloons inserted into the esophagus, stomach or uterus, and inflated to alleviate or stop refractory bleeding.
If bleeding continues then balloon tamponade with a Sengstaken-Blakemore tube or Minnesota tube may be used in an attempt to mechanically compress the varicies.
Bakri Balloon Tamponade (BBT), designed for postpartum hemorrhage, is an effective life-saving balloon.
Bleeding varices may be controlled initially by pharmacological measures, balloon tamponade, endoscopic sclerotherapy, oesophageal transection, or emergency portasystemic shunt surgery.
The Bakri Balloon Tamponade (BBT) is a silicone, obstetrical balloon specifically designed to treat postpartum hemorrhage (PPH).
The term intubation is often considered synonymous with tracheal intubation, but may reference inserting a tube into the gastrointestinal tract, as with balloon tamponade with a Sengstaken-Blakemore tube.
The severity of the bleeding in the referred patients was similar to that in younger patients; at least 20% required balloon tamponade in order to control active bleeding at the time of initial endoscopy.
After resuscitation, which may require blood transfusion, the management of active variceal bleeding includes administering vasoactive drugs (somatostatin, octreotide or terlipressin), endoscopic banding ligation, balloon tamponade and TIPS.
In cases of refractory bleeding, balloon tamponade with Sengstaken-Blakemore tube may be necessary, usually as a bridge to further endoscopy or treatment of the underlying cause of bleeding (usually portal hypertension).
Balloon tamponade is considered a bridge to more definitive treatment modalities, and is usually administered in the Emergency Department or in the intensive-care unit setting, due to the illness of patients and the complications of the procedure.
With an overall success rate of 86%, the authors concluded that the Bakri Balloon Tamponade (BBT) is "a simple, readily available, effective and safe procedure" in the management of postpartum hemorrhage (PPH).