Pdf assessing the role of the nonpneumatic antishock. Postpartum hemorrhage pph is the leading cause of maternal mortality and severe maternal morbidity. Can the nonpneumatic antishock garment nasg reduce. Nonpneumatic antishock garment nasg is clinically proven to reverse shock in the case of massive postpartum hemorrhage. Written informed consent to publish the image was obtained from the woman. 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.
The non pneumatic anti shock 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. Cct is associated to reduced mean blood loss, incidence of manual. Nonpneumatic antishock garment nasg training video. Pdf 4 nonpneumatic antishock garment suellen miller. This article is the first to report the effect of the nasg for pph. Suellen miller, cnm, phd, international maternal health. The antishock garmentoriginally conceived by nasa for use in spacecan slow excessive bleeding after childbirth and stabilize the mother until she can be treated at an emergency care facility. The nasg, made of neoprene and velcrotm, compresses the lower body with nine articulated segments closed tightly around the legs, pelvis, and abdomen. 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. Each of its nine segments is sequentially wrapped tightly around a hemorrhaging womans legs, pelvis and abdomen figure 1. 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. A costeffectiveness analysis in egypt and nigeria 20 authors. Prior studies on the effectiveness of the nasg have suffered from. Mar 21, 2006 efficacy study of the non pneumatic anti shock garment nasg in egypt the safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
The use of pneumatic antishock garments pasg is controversial and local protocols regarding their use vary. Nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolemic shock and decreases obstetric. Nonpneumatic antishock garment information and supply. The antishock garmentoriginally conceived by nasa for use in spacecan slow excessive bleeding after childbirth and stabilize the mother until she can. Among the most promising of technologies to reduce maternal mortality is the nonpneumatic antishock garment nasg, a firstaid device that when appropriately.
Impact of the nonpneumatic antishock garment on pelvic blood flow in healthy postpartum women. The promise of the non pneumatic anti shock garment. Business business, international general interest clothing health aspects clothing and dress womens health. Pathfinder international, nonpneumatic antishock garment nasg. The non pneumatic anti shock garment for postpartum haemorrhage in nigeria. Dawn joyce, jennifer clark and suellen miller of the safe motherhood programs, womens global health imperative, university of california san francisco, usa. In particular, the nonpneumatic antishock compression garments have been used since the early 1900s to manage shock. The nonpneumatic antishock garment nasg is a firstaid, lowerbody compression device made from neoprene and velcro zoex corporation, ashland, or, usa. Jan 14, 2020 in particular, the non pneumatic anti shock compression garments have been used since the early 1900s to manage shock. A tightly fitted neoprene nonpneumatic antishock garment nasg has been shown to decrease blood loss and improve survival rates from postpartum hemorrhage.
The other type of antishock garment is a nonpneumatic version. A 2017 study found that tranexamic acid decreased a womans risk of death. Obstetrical hemorrhage is heavy bleeding of a woman during or shortly after a pregnancy. The nasg, made of neoprene and velcro, compresses the lower body with nine articulated segments closed tightly around the legs, pelvis, and abdomen. Clinical article a comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in nigeria suellen millera. Benefit has been demonstrated in patients with hypovolemic shock, such as traumatic injury, abdominal aortic aneurysm rupture, and postpartum hemorrhage. It is made of neoprene and velcro tm and looks like the lower half of a wetsuit, cut into segments. Use of an improvised pneumatic antishock garment and a. How to apply the pneumatic antishock garment first aid. Obstetric hemorrhage is one of the leading causes of maternal death worldwide. National health systems resource centre new delhi,india. Use of the non pneumatic anti shock garment nasg for lifethreatening obstetric hemorrhage. A nonpneumatic antishock garment applied to a woman. The non pneumatic anti shock garment nasg is a firstaid device that may assist women to survive delays in transport and therefore receive definitive treatment figure 1.
The non pneumatic anti shock garment nasg, a firstaid lowerbody compression device, may decrease adverse outcomes from obstetric hemorrhage. The pneumatic antishock garment, or pasg, was developed in the 1970s and used to transport wounded soldiers during the vietnam war, hence its other name, medical antishock trousers, or mast. The name non pneumatic anti shock garment is the generic term for this type of medical appliance and has little about it that is layfriendly. Impact of the non pneumatic antishock garment on pelvic blood flow in healthy postpartum women. Media in category non pneumatic antishock garment this category contains only the following file. The sites are two maternity teaching hospitals in egypt. International journal of gynecology and obstetrics 107 2009 121125. This simple device helps women survive delays in getting to a hospital and getting the treatment that. Use of the nonpneumatic antishock garment nasg for life. Nasgindia is a partnership to ensure affordable and sustainable access to the nonpneumatic antishock garment. The nonpneumatic antishock garment nasg is a firstaid device used to stabilize women in shock from obstetric hemorrhage until they can receive definitive care.
Nonpneumatic antishock garment information and supply center for india. 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 non pneumatic anti shock garment nasg is a firstline intervention for the management and stabilization of women with pph in hypovolemic shock. Non pneumatic anti shock garment information and supply center for india. The nonpneumatic antishock garment nasg this compression garment is made from neoprene, a stretchable material that recoils and applies pressure through the skin. The nonpneumatic antishock garment nasg is a firstline intervention for the management and stabilization of women with pph in hypovolemic shock. A first aid device, the non pneumatic anti shock garment nasg, can be applied to a woman with pph in order to stabilize the woman during the second and third delays 4, 5,6. 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. Purchase lifewrap nonpneumatic antishock garment nasg. The nonpneumatic antishock garment nasg is one promising new technology currently being studied as a means for achieving the reduction of deaths from obstetric haemorrhage in lowresource settings. Postpartum hemorrhage pph continues to be the single most common cause of maternal morbidity and.
A costeffectiveness analysis in egypt and nigeria tori sutherland1, janelle downing2, suellen miller3, david m. While youre stuck at home, make the most of your time by learning a new language, skill, or even train for a remotework job with our new premium online courses. The name lifewrap is simply another name for the garment that is used for the specific aim of reducing maternal mortalities from obstetric hemorrhage and is a name that nonmedical people can use and. The zoex non inflatable anti shock garment nasg is a specific type of anti shock garment originally developed from nasa anti g. Once in place, the lifewrap nasg applies enough circumferential counter pressure to decrease blood loss and reverse shock by increasing blood pressure to the. The nonpneumatic antishock garment nasg, a firstaid lowerbody pressure device, may decrease mortality. Use of the non pneumatic anti shock garment nasg for lifethreatening.
The zoex noninflatable antishock garment nasg is a specific type of antishock. A promising device to save maternal lives associated with obstetric. A comparative study of the non pneumatic anti shock garment for the treatment of obstetric hemorrhage in nigeria. The report provides a basic overview of the postpartum hemorrhage pph treatment devices industry including its definition, applications, and manufacturing technology. Each of its nine segments is sequentially wrapped tightly around a hemorrhaging.
Aims the objective of this study was to determine whether blood flow to the pelvis is decreased by use of the nasg or by an improvised pasg. 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. The nonpneumatic antishock garment nasg is a lightweight 1. This article discusses how the garments work and how they are applied.
Obstetric hemorrhage is the leading cause of maternal mortality globally. It feels like a tight diving wetsuit to wear, and consists of five segments that compress the legs segments 1, 2 and 3, the pelvis segment 4 and the abdomen segment 5 see. Nasgindia is a partnership to ensure affordable and sustainable access to the non pneumatic anti shock garment. Wikimedia commons has media related to emergency medical equipment pages in category emergency medical equipment the following 20 pages are in this category, out of 20 total. Nonpneumatic antishock garment nasg, a firstaid device. In timorleste, a low technology first aid device is saving womens lives. Its efficacy for reducing maternal deaths due to obstetrical hemorrhage is being researched. The non pneumatic anti shock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. Perprotocol effect of earlier nonpneumatic antishock. The nonpneumatic antishock garment for postpartum haemorrhage in nigeria. Efficacy study of the nonpneumatic antishock garment. Antishock garment in postpartum haemorrhage sciencedirect. The name nonpneumatic antishock garment is the generic term for this type of medical appliance and has little about it that is layfriendly.
The use of antishock garments dates back to the early. Pdf the mechanisms of action of the nonpneumatic antishock. Use of the nonpneumatic antishock garment nasg for. Martina, david nsimac a department of obstetrics, gynecology and reproductive sciences, university of california, san francisco, san francisco, usa. Global postpartum hemorrhage pph treatment devices. A comparative study of the nonpneumatic antishock garment. The nonpneumatic antishock garment nasg is a firstaid device to stabilize women in hypovolemic shock secondary to obstetric hemorrhage. To assess the amount of abdominal pressure generated by the nonpneumatic antishock garment nasg, a firstaid counter pressure device for obstetric hemorrhage, and to evaluate if body mass index bmi and applier strength, affect. Be sure to check your local protocols regarding use of pasg in your area. The nonpneumatic antishock garment nasg is a lowtechnology firstaid device used to treat hypovolemic shock. The name lifewrap is simply another name for the garment that is used for the specific aim of reducing maternal mortalities from obstetric hemorrhage and is a name that non medical people can use and. Combined analysis of the nonpneumatic antishock garment. The non pneumatic anti shock garment nasg is a lightweight 1.
The non pneumatic anti shock garment nasg is a firstaid device used to stabilize women in shock from obstetric hemorrhage until they can receive definitive care. Nov 15, 20 obstetric hemorrhage is the leading cause of maternal mortality, particularly in lowresource settings where women face significant delays in accessing definitive treatment. The garment resembles a wetsuit that can be wrapped around the mothers lower body and abdomen to direct blood to key organs. Nonpneumatic antishock garment how is nonpneumatic anti. Experience in the use of nonpneumatic antishock garment. Listing a study does not mean it has been evaluated by the u. This preinterventionnasg study of 854 women was conducted in four. A comparative study of the nonpneumatic antishock garment for the treatment of obstetric hemorrhage in nigeria. Postpartum hemorrhage kills more new mothers than any other causean estimated 71,800 annually. The nasg applies pressure to the lower body and abdomen, thereby stabilizing vital signs and resolving hypovolemic shock. The world health organization has recommended nonpneumatic antishock garment to help until other measures such as surgery can be carried out. The nonpneumatic antishock garment nasg is a firstaid device that reverses hypovolaemic shock and decreases obstetric haemorrhage. Use of the nonpneumatic antishock garment nasg for lifethreatening obstetric hemorrhage. Use of an improvised pneumatic antishock garment and a nonpneumatic antishock garment to control pelvic blood flow international journal of emergency medicine, 2010.
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. Efficacy study of the nonpneumatic antishock garment nasg. Combined analysis of the nonpneumatic antishock garment on. 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. Occasionally referred to as the lifewrap, the original zoex niasg is currently involved in both research studies and actual field use throughout the world. Nonpneumatic antishock garment for obstetrical hemorrhage. Feb 12, 2017 in timorleste, a low technology first aid device is saving womens lives. 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. Blood from the lower extremities is, according to this theory, transfused back into the thorax and the core organs by compression of the. Pdf use of nonpneumatic anti shock garment in hemorrhagic shock.
The nonpneumatic antishock garment nasg is a neoprene suit that is wrapped tightly around the lower abdomen and limbs. The other type of anti shock garment is a non pneumatic version. The nonpneumatic antishock garment nasg is a firstaid device used to stabilize women who are suffering from obstetric hemorrhage and shock. Nonpneumatic antishock garment how is nonpneumatic. Zoex noninflatable antishock garment nasg the original zoex niasg developed from nasa technology.
Product functionality the nasg is a lightweight neoprene garment that is made up of five segments that close tightly with velcro. Prior studies on the effectiveness of the nasg have suffered from small sample. It consists of articulated neoprene segments that close tightly with velcro, shunting blood from the lower body to the core organs, elevating blood pressure and increasing preload and cardiac output. Use of the nonpneumatic antishock garment nasg for lifethreatening. Obstetric hemorrhage is the leading cause of maternal mortality, particularly in lowresource settings where women face significant delays in accessing definitive treatment. The nonpneumatic antishock garment, a first aid device. The nonpneumatic antishock garment nasg, a firstaid lowerbody compression device, may decrease adverse outcomes from obstetric hemorrhage.
To quantify primarily the effect on hypovolemic shock of the non. How the nasg works as illustrated in figures 1 and 2, the nasg is a simple, relatively inexpensive, lightweight, reusable compression suit, much. Fathalla5, mohammed mouradyoussif6, oladosu ojengbede7, david nsima8, james g. The non pneumatic anti shock garment nasg is a firstaid device to stabilize women in hypovolemic shock secondary to obstetric hemorrhage. The mechanisms of action of the nonpneumatic antishock garment. 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. This preinterventionnasg study of 854 women was conducted in four referral. Antishock garment in postpartum haemorrhage safe motherhood. This preinterventionnasg study of 288 women was conducted in four referral facilities. It can be used to treat shock, resuscitate, stabilize and prevent further bleeding in women with obstetric hemorrhage.
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