Anesthetic Management for Obstetric Hysterectomy

Placenta percreta with invasion of the bladder wall: management with a multi-disciplinary approach

“…Observational data collected over 15 years by Parekh et al, similarly confounded, showed less bleeding and fewer transfusions with regional versus general anesthesia patients undergoing Cesarean section for placenta previa [13]. Chestnut and colleagues reported equivalent blood loss in patients receiving regional rather than general anesthesia (not randomized) among 46 cases of obstetric hysterectomy over three years at 5 institutions [16].…”

Interventional radiology in women with suspected placenta accreta undergoing caesarean section

“…It has also been shown to reduce transfusion requirements. [18][19][20] Further, the mother's cerebral perfusion and behaviour reflects her haemodynamic status and should there be a major haemorrhage, some anaesthetists find a communicative and coherent mother reassuring. As long as hypovolaemia is avoided, there is no need for conversion to general anaesthesia.…”

Epidural Anesthesia for Elective Cesarean Delivery with Intraoperative Arterial Occlusion Balloon Catheter Placement

“…GA drugs also lead to decreased uterine tone and decreased platelet function (7). RA has been associated with decreased blood loss and decreased need for transfusion in major obstetric hemorrhage (8,9). Furthermore, in elective CS randomized to RA or GA, blood loss is lower with RA (10).…”