Two catheter balloons

History

This patient had a major post partum haemorrhage (PPH). After the first stages of standard management failed, a Bakri balloon was inserted. This is like a huge Foley catheter that can inflate to hold 500ml. It should sit in the uterus, creating a tamponading effect.

Bakri balloon in post partum haemorrhage (PPH)

Longitudinal view of the pelvis : the balloon is inflated in the cervix rather than in the uterus. The smaller Foley catheter balloon is seen sitting above the Bakri balloon in the bladder. The Bakri volume was calculated at 50ml.

Bakri Balloon in post partum haemorrhage (PPH) 3

Longitudinal view of the uterine funds, without retained products of conception, not filled with blood, and not filled with the Bakri balloon.  Fortunately bleeding seems to have stopped spontaneously.

Bakri Balloon in post partum haemorrhage (PPH) 2

Transverse view of the Bakri balloon in the cervix

Bakri balloon placement

CORRECT PLACEMENT                                                  INCORRECT PLACEMENT

This video shows how to insert and use the Bakri balloon.

How to use the Bakri Postpartum Balloon

 

About James Rippey

Emergency physician with a passion for ultrasound and educating the masses @theSonoCave + James Rippey

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