TY - JOUR
T1 - Placenta accreta. A review of current anesthetic considerations
AU - Fiszer, Elisheva
AU - Weiniger, Carolyn F.
N1 - Publisher Copyright:
© 2022 Elsevier Ltd
PY - 2022/5
Y1 - 2022/5
N2 - Placenta accreta spectrum (PAS) is a potentially life-threatening disorder with unique anesthetic challenges, and its incidence has increased over the past decades. We review current guidelines and best practice evidence for antenatal diagnosis and preoperative evaluation, management pathways, multidisciplinary staff coordination, and surgery location. We address specific considerations for choice of anesthesia modality, the role of interventional radiology, and various techniques for minimizing hemorrhage for both planned and unplanned cases, as well as postoperative care for the PAS patient.
AB - Placenta accreta spectrum (PAS) is a potentially life-threatening disorder with unique anesthetic challenges, and its incidence has increased over the past decades. We review current guidelines and best practice evidence for antenatal diagnosis and preoperative evaluation, management pathways, multidisciplinary staff coordination, and surgery location. We address specific considerations for choice of anesthesia modality, the role of interventional radiology, and various techniques for minimizing hemorrhage for both planned and unplanned cases, as well as postoperative care for the PAS patient.
KW - maternal morbidity
KW - placenta accreta spectrum
KW - post-partum hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=85125507917&partnerID=8YFLogxK
U2 - 10.1016/j.bpa.2022.01.003
DO - 10.1016/j.bpa.2022.01.003
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C2 - 35659951
AN - SCOPUS:85125507917
SN - 1753-3740
VL - 36
SP - 157
EP - 164
JO - Best Practice and Research: Clinical Anaesthesiology
JF - Best Practice and Research: Clinical Anaesthesiology
IS - 1
ER -
