Anesthetic and Obstetric Management of Placenta Accreta: Clinical Experience and Available Evidence

Toledano, Roulhac D.; Leffert, Lisa

doi:10.1007/s40140-017-0200-2

Cited by 6 publications

(6 citation statements)

References 51 publications

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“…AIP into the uterine wall is a rather rare complication of pregnancy, although in recent decades there has been an increase in its incidence: from 1: 2500-1:7000 pregnancies in 2007 to 1:533 births in 2017 [6] in parallel with an increase in the number of deliveries by caesarean section [7][8]. So, for example, from 2010 to 2012 in New Zealand and Australia, studies showed one AIP case per 2262 births [9]. Such a different incidence and interest of scientists from all over the world indicates the relevance and complexity of this problem.…”

Section: Review and Discussionmentioning

confidence: 99%

Current State of the Problem Ofabnormal Invasion of the Placenta in Obstetrics

et al. 2020

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The aim: On the basis of literature data, as well as a clinical case study, to assess the state of the problem of abnormal invasion of the placenta in obstetrics at the present stage. Materials and methods: Based on the materials of the world’s leading citation databases (MEDLINE, EMBASE, Cochrane), a brief review of the literature data over the past 5 years is presented, dedicated to the issues of abnormal placental invasion. The possibilities of a complex of diagnostic studies and clinical management of women with an anomaly of placenta attachment are considered. A clinical case study of abnormal placental invasion is presented. Conclusions: AIP is an extremely serious condition with not fully understood etiological and pathogenic mechanisms. Correct and timely verification of this pathological condition, based on the simultaneous use of a whole complex of diagnostic studies (history taking, 2D, 3D, energy and color Doppler mapping, MRI), contributes to the development of individual tactics for the management and delivery in women with AIP, making it possible to reduce maternal morbidity and mortality and improve perinatal outcomes.

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Section: Review and Discussionmentioning

confidence: 99%

Current State of the Problem Ofabnormal Invasion of the Placenta in Obstetrics

et al. 2020

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“…The initial measurement of hemoglobin level is useful as a baseline measure and repeated evaluation provides information on the degree of severity of bleeding and anemia [ 32 , 33 ]. After analyzing risk factors by utilizing the previously described scoring system to predict massive transfusion in PP [ 19 - 22 ], invasive monitoring with arterial catheterization, central catheterization with a large-bore catheter, and noninvasive or minimally invasive cardiac output monitoring can be applied [ 34 , 35 ]. Even without proper catheterization before CS, if the bleeding is not rapidly controlled during surgery, the placement of large venous access (16 gauge or more) should be considered [ 32 ].…”

Section: Anesthetic Management For Csmentioning

confidence: 99%

Management of massive hemorrhage in pregnant women with placenta previa

Park

Cho

2020

Anesth Pain Med

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Patients with placenta previa are at risk for intra- and postpartum massive blood loss as well as increased risk of placenta accreta, a type of abnormal placental implantation. This condition can lead to serious obstetric complications, including maternal mortality and morbidity. The risk factors for previa include prior cesarean section, multiparity, advanced maternal age, prior placenta previa history, prior uterine surgery, and smoking. The prevalence of previa parturients has increased due to the rising rates of cesarean section and advanced maternal age. For these reasons, we need to identify the risk factors for previa and identify adequate management strategies to respond to blood loss during surgery. This review evaluated the diagnosis of placenta previa and placenta accreta and assessed the risk factors for previa-associated bleeding prior to cesarean section. We then presented intraoperative anesthetic management and other interventions to control bleeding in patients with previa expected to experience massive hemorrhage and require transfusion.

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“…Consideraciones anestésicas: El método anestésico utilizado y las estrategias transfusionales óptimas son pilares fundamentales de la cirugía. Es necesario un centro de alta complejidad capaz de manejar situaciones de emergencia durante un procedimiento de esta envergadura y un equipo de anestesia con experiencia en el manejo de la hemorragia obstétrica 16 .…”

Section: Manejounclassified

“…La técnica anestésica elegida dependerá de: la profundidad de invasión placentaria, los órganos involucrados, protocolos y recursos institucionales, tipo de vía aérea y experiencia del médico involucrado 16 , se reconocen tres opciones:…”

Section: Manejounclassified

Acretismo placentario: Un diagnóstico emergente. Abordaje quirúrgico no conservador.

A.³

2018

Rev. chil. obstet. ginecol.

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Anesthetic and Obstetric Management of Placenta Accreta: Clinical Experience and Available Evidence

Cited by 6 publications

References 51 publications

Current State of the Problem Ofabnormal Invasion of the Placenta in Obstetrics

Current State of the Problem Ofabnormal Invasion of the Placenta in Obstetrics

Management of massive hemorrhage in pregnant women with placenta previa

Acretismo placentario: Un diagnóstico emergente. Abordaje quirúrgico no conservador.

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