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Best Pract Res Clin Anaesthesiol · May 2022
ReviewPlacenta accreta. A review of current anesthetic considerations.
- Elisheva Fiszer and Carolyn F Weiniger.
- Department of Anaesthesia, Intensive Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. Electronic address: elishevafiszer@gmail.com.
- Best Pract Res Clin Anaesthesiol. 2022 May 1; 36 (1): 157-164.
AbstractPlacenta 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.Copyright © 2022 Elsevier Ltd. All rights reserved.
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