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