Benefit has been demonstrated in patients with hypovolemic shock, such as traumatic injury, abdominal aortic aneurysm rupture, and postpartum hemorrhage. For all midwives, nurses and obstetricians interested in a cemarked device to reduce maternal death this product is essential to have on ambulances, in clinics and in hospitals. However, in the absence of drugs, second line intervention devices are adopted such as nonpneumatic antishock garment, uterine balloon tamponade and uniject prefilled injection systems. Effectiveness of nonpneumatic antishock garment nasg. This is a comparative, prepost study of the nonpneumatic antishock garment nasg to establish its effectiveness in reducing maternal mortality and morbidity due to obstetrical hemorrhage. Postpartum hemorrhage pph continues to be the single most common cause of maternal morbidity and mortality, accounting for approximately. This simple device helps women survive delays in getting to a hospital and getting the treatment that. A comparative study of the non pneumatic anti shock garment for the treatment of obstetric hemorrhage in nigeria. Mar 31, 2015 women with postpartum haemorrhage pph in developing countries often present in critical condition when treatment might be insufficient to save lives. Via global health continues to source critical ppe, diagnostics and covid19 patient management supplies from our network of trusted manufacturers. One first aid management tool for hypovolemic shock secondary to obstetric hemorrhage is the nonpneumatic antishock garment nasg. The nonpneumatic antishock garment nasg is a firstaid device that may assist women to survive delays in transport and therefore receive definitive treatment figure 1. The zoex noninflatable antishock garment nasg is a specific type of antishock. Butrick1, thulani magwali3, gricelia mkumba4, christine kaseba4, n.
Product functionality the nasg is a lightweight neoprene garment that is made up of five segments that close tightly with velcro. The non pneumatic anti shock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. It is made of neoprene and velcro and looks like the lower half of a wetsuit, cut into segments. The pneumatic anti shock garment, or pasg, was developed in the 1970s and used to transport wounded soldiers during the vietnam war, hence its other name, medical anti shock trousers, or mast. This study was aimed to assess the utilization of nonpneumatic antishock.
Experience of combined use of a bakri uterine balloon and. The nonpneumatic antishock garment nasg, a firstaid lowerbody compression device, may decrease adverse outcomes from obstetric hemorrhage. Hauswald m, williamson mr, baty gm, kerr nl, edgarmied vl. The non pneumatic anti shock garment nasg is a firstline intervention for the management and stabilization of women with pph in hypovolemic shock.
The suit applies between 20 and 40 mmhg of circumferential pressure to the lower part of the body, which increases the venous flow and the cardiac output allowing a systematic distribution of flow. This article discusses how the garments work and how they are applied. Use of an improvised pneumatic antishock garment and a nonpneumatic antishock garment to control pelvic blood flow. Nonpneumatic antishock garment how is nonpneumatic antishock garment abbreviated. The non pneumatic anti shock garment nasg is a device developed as a temporizing measure to regain hemodynamic stability and allow patient transfer or definitive pph treatment. For the full list of available products please click here. Barriers and facilitators to scaling up the nonpneumatic. The nonpneumatic antishock garment, a first aid device in. Feb 12, 2017 the nonpneumatic antishock garment nasg is a neoprene suit that is wrapped tightly around the lower abdomen and limbs of a woman suffering postpartum hemorrhage. The nonpneumatic antishock garment, a first aid device. Research open access can the nonpneumatic antishock garment. The sites are two maternity teaching hospitals in egypt.
Use of the non pneumatic anti shock garment nasg for lifethreatening obstetric hemorrhage. Experience in the use of nonpneumatic antishock garment. When in shock, the brain, heart and lungs are deprived of oxygen because blood. Use of an improvised pneumatic anti shock garment and a non pneumatic anti shock garment to control pelvic blood flow int j emerg med 3. Hemodynamic response to nonpneumatic antishock compression. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in egypt. The nonpneumatic antishock garment nasg is a firstline intervention for the management and stabilization of women with pph in hypovolemic shock. This study examines whether the nonpneumatic antishock garment nasg reduces blood loss and mortality from uterine atony. The nasg is a compression suit made of five neoprene segments that close tightly with velcro around the legs, pelvis and abdomen. The nonpneumatic antishock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. One first aid management tool for hypovolemic shock secondary to obstetric hemorrhage is the non pneumatic anti shock garment nasg. The prehospital use of pneumatic antishock garments. Non pneumatic anti shock garment nasg, a firstaid device to decrease maternal mortality from obstetric hemorrhage. Pdf 4 nonpneumatic antishock garment suellen miller.
Results from the use of the non pneumatic anti shock garment nasg zoex corporation, ashland, or to stabilize women with obstetric hemorrhage have been published in a case series, a pilot study, and two small comparative studies 37. Via global health international medical devices and supplies. Use of the nonpneumatic antishock garment nasg for. Once in place, the lifewrap nasg applies enough circumferential counter pressure to decrease blood loss and reverse shock by increasing blood pressure to the. Efficacy study of the nonpneumatic antishock garment.
Nonpneumatic antishock garment for obstetric hemorrhage. Be sure to check your local protocols regarding use of pasg in your area. Background obstetric hemorrhage oh, which includes hemorrhage from multiple etiologies during pregnancy, childbirth, or postpartum, is the leading cause of maternal mortality and accounts for onequarter of global maternal deaths. Use of an improvised pneumatic antishock garment and a nonpneumatic antishock garment to control pelvic blood flow int j emerg med 3. The sample was taken from delivering women at four re. Nonpneumatic antishock garment how is nonpneumatic. Pdf a comparative study of the nonpneumatic antishock. The other type of anti shock garment is a non pneumatic version. Each of its nine segments is sequentially wrapped tightly around a hemorrhaging womans legs, pelvis and abdomen figure 1. Effectiveness of nonpneumatic antishock garment nasg in. The nasg is a compression suit made of five neoprene segments that close tightly with velcro around the legs, pelvis and abdomen 6.
The non pneumatic anti shock garment is a simple neoprene and velcro device that looks like the bottom half of a wetsuit cut into segments. The nasg, made of neoprene and velcro, compresses the lower body with nine articulated segments closed tightly around the legs, pelvis, and abdomen. Nonpneumatic antishock garment world health organization. Nonpneumatic antishock garment nasg training video. Zoex corporation, ashland, or, usa is used to reverse shock and control hemorrhage during delays in either transport from home to hospital or obtaining appropriate care at the facility level 2. The non pneumatic anti shock garment nasg is a lightweight 1. Positive effects of the nonpneumatic antishock garment on. Mar 17, 2020 non pneumatic anti shock garment is a unique, life saving first aid device made of neoprene and velcro, which is used for treatment of women with postpartum hemorrhage. Maternal mortality in the world still very high and postpartum hemorrhage is the leading cause of maternal mortality worldwide.
This study was aimed to assess the utilization of non pneumatic anti shock garment and. The use of pneumatic antishock garments pasg is controversial and local protocols regarding their use vary. Nonpneumatic antishock garment for improving maternal. Use of an improvised pneumatic antishock garment and a nonpneumatic antishock garment to control pelvic blood flow international journal of emergency medicine, 2010. Lifewrap nonpneumatic antishock garment nasg swift.
Who recommendation on the use of nonpneumatic antishock. Antishock garment in postpartum haemorrhage safe motherhood. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in nigeria. Pph can be treated by first line nonsurgical methods which involves the adoption of uterotonic drugs such as oxytocin and misoprostol. This preinterventionnasg study of 854 women was conducted in four referral facilities in nigeria and. Use of an improvised pneumatic anti shock garment and a non pneumatic anti shock garment to control pelvic blood flow international journal of emergency medicine, 2010. Jul 30, 2019 the nonpneumatic antishock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. As such it buys time to overcome two of the three delays that contribute to maternal mortality in lower resourced settings. Alhussainib, elizabeth butricka, carinne meyera a department of obstetrics, gynecology and reproductive sciences, university of california, san francisco, san. While the pasg is not often used for obstetric hemorrhage, the nonpneumatic antishock garment nasg has been used for obstetric hemorrhage in lowresource settings for the past ten years. Nonpneumatic antishock garment nasg aspirant world. The nonpneumatic antishock garment nasg is a firstaid device that reverses. Oct 23, 20 the nonpneumatic antishock garment nasg is a firstaid device that may assist women to survive delays in transport and therefore receive definitive treatment figure 1. We examined whether the nonpneumatic antishock garment nasg ameliorates the effects of delays in transport to and treatment at hospitals for women with postpartum hemorrhage pph and postabortion hemorrhage pah and investigated the effects of nasg use on timing of delivery of interventions inhospital.
The nonpneumatic antishock garment nasg is a first aid device that can buy time for women experiencing hypovolemic shock secondary to obstetric hemorrhage from any etiology. A costeffectiveness analysis in egypt and nigeria tori sutherland1, janelle downing2, suellen miller3, david m. Research open access can the nonpneumatic antishock. Nov 01, 2015 it is thought that use of inflated pneumatic antishock garments pasg also called military antishock trousers mast aids in the treatment of patients in hemorrhagic shock by autotransfusion. Positive effects of the nonpneumatic antishock garment. To compare the outcomes of women with postpartum hemorrhage pph refractory to initial management and in a state of hypoperfusion between management with a non. It is made of neoprene and velcrotm and looks like the lower half of a wetsuit, cut into segments. Pdf use of nonpneumatic anti shock garment in hemorrhagic shock. Nonpneumatic antishock garment nasg training video youtube. Below is a list of popular items that have immediate availability for frontline healthcare workers.
Nonpneumatic antishock garment nasg is clinically proven to reverse shock in the case of massive postpartum hemorrhage. A cluster randomized trial suellen miller1, eduardo f. This lowtechnology, easy to apply, circumferential pressure device, is made of stretchy compression neoprene and closes tightly with velcro, reversing shock, restoring vital. It can be used to treat shock, resuscitate, stabilize and prevent further bleeding in women with obstetric hemorrhage. Use of the nonpneumatic antishock garment nasg for life. Women with postpartum haemorrhage pph in developing countries often present in critical condition when treatment might be insufficient to save lives. We examined whether the non pneumatic anti shock garment nasg ameliorates the effects of delays in transport to and treatment at hospitals for women with postpartum hemorrhage pph and postabortion hemorrhage pah and investigated the effects of nasg use on timing of delivery of interventions inhospital. It is made of neoprene and velcro tm and looks like the lower half of a wetsuit, cut into segments. Pdf use of nonpneumatic anti shock garment in hemorrhagic. Nonpneumatic antishock garment nasg can prevent the postpartum hemorrhage complication by decreasing blood flow to the lower extremities and increasing blood flow to vital organs like brain, heart, and lung. Obstetrical hemorrhage is heavy bleeding of a woman during or shortly after a pregnancy. As such, it became known as the militarymedical antishock trousers mast suit or pneumatic antishock garment pasg8,9.
The other type of antishock garment is a nonpneumatic version. Clinical article a comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in egypt suellen millera. The need of invasive treatments, like hysterectomies, decreased 4556%. Nonpneumatic antishock garment nasg, a firstaid device. One method to manage pph is the use of a non pneumatic antishock garment nasg. Few studies have shown that application of non pneumatic anti shock garment nasg could improve maternal survival. The nonpneumatic antishock garment nasg is a lightweight 1. Few studies have shown that application of nonpneumatic antishock garment nasg could improve maternal survival. A comparative study of the non pneumatic anti shock garment for the treatment of obstetric hemorrhage in egypt. Fathalla5, mohammed mouradyoussif6, oladosu ojengbede7, david nsima8, james g. Nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolemic shock and decreases obstetric. A first aid device for maternal hemorrhage elizabeth butrick msw mph suellen miller cnm phd. Nonpneumatic antishock garment nasg, a firstaid device to decrease maternal mortality from obstetric hemorrhage. One method to manage pph is the use of a nonpneumatic antishock garment nasg.
This study examines whether the non pneumatic anti shock garment nasg reduces blood loss and mortality from uterine atony. Use of an improvised pneumatic anti shock garment and a non pneumatic anti shock garment to control pelvic blood flow. Nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolemic shock and decreases obstetric haemorrhage. Implementation project of the nonpneumatic antishock. The nonpneumatic antishock garment nasg is a firstaid device for obstetric hemorrhage that can be applied for postpartumpost miscarriage and for ectopic. Use of the nonpneumatic antishock garment nasg for lifethreatening obstetric hemorrhage. The nonpneumatic antishock garment nasg is a firstaid device that. Purchase lifewrap nonpneumatic antishock garment nasg. The mechanisms of action of the nonpneumatic antishock garment. One method to manage pph is the use of a non pneumatic anti shock garment nasg. A comparative study of the nonpneumatic antishock garment. Non pneumatic anti shock garment nasg can prevent the postpartum hemorrhage complication by decreasing blood flow to the lower extremities and increasing blood flow to vital organs like brain, heart, and lung. Non pneumatic antishock garment is a unique, life saving first aid device made of neoprene and velcro, which is used for treatment of women with postpartum hemorrhage.
The nonpneumatic antishock garment nasg is a firstaid, lowerbody compression device made from neoprene and velcro zoex corporation, ashland, or, usa. Blood from the lower extremities is, according to this theory, transfused back into the thorax and the core organs by compression of the. The nonpneumatic antishock garment nasg is a firstaid device that may assist women to survive delays in transport and therefore receive definitive treatment. The nonpneumatic antishock garment nasg is a device developed as a temporizing measure to regain hemodynamic stability and allow patient transfer or definitive pph treatment.
The nonpneumatic antishock garment nasg is a lowtechnology, firstaid compression device which, when added to standard hypovolemic shock protocols, may improve outcomes for women with hypovolemic shock secondary to obstetric hemorrhage in tertiary facilities in lowresource settings. This article is the first to report the effect of the nasg for pph. Its efficacy for reducing maternal deaths due to obstetrical hemorrhage is being researched. Postpartum hemorrhage pph devices market by product. Miller s, hamza s, bray e 2004 first aid for obstetrical hemorrhage. The nonpneumatic antishock garment nasg is a neoprene suit that is wrapped tightly around the lower abdomen and limbs of a woman suffering postpartum hemorrhage. The nonpneumatic antishock garment nasg is a lowtechnology firstaid device used to treat hypovolemic shock. Non pneumatic anti shock garment nasg is clinically proven to reverse shock in the case of massive postpartum hemorrhage. In particular, the nonpneumatic antishock compression garments have been used since the early 1900s to manage shock.
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