Placenta accreta. A review of current anesthetic considerations

Elisheva Fiszer*, Carolyn F. Weiniger

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


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.

Original languageEnglish
Pages (from-to)157-164
Number of pages8
JournalBest Practice and Research: Clinical Anaesthesiology
Issue number1
StatePublished - May 2022
Externally publishedYes


  • maternal morbidity
  • placenta accreta spectrum
  • post-partum hemorrhage


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