Anesthetic management of patients with placenta accreta and resuscitation strategies for associated massive hemorrhage

D Snegovskikh, A Clebone… - Current Opinion in …, 2011 - journals.lww.com
D Snegovskikh, A Clebone, E Norwitz
Current Opinion in Anesthesiology, 2011journals.lww.com
Placenta accreta is one of the leading causes of peripartum hemorrhage. The goal of this
article is to review anesthetic management of parturients with placenta accreta and to
examine a modern approach to massive peripartum hemorrhage. … We agree with authors
who state that general anesthesia is preferred in cases with a high likelihood of massive
bleeding and coagulopathy (such as placenta percreta or morbidly obese patients with
placenta accreta) [36,38,39] . All such …
Summary
Careful planning and close communication are essential between anesthesiology, obstetric, interventional radiology, gynecologic oncology, blood bank, and specialized surgical teams when taking care of a patient with placenta accreta.
Lippincott Williams & Wilkins
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