[Epidural anesthesia for five caesarian sections in patients with placenta previa percreta combined with placenta accreta].

Abstract

We gave anesthesia for five cases of caesarian section in patients with placenta previa percreta combined with placenta accreta. Five caesarian sections were performed under epidural anesthesia and placentae remained in the uterus. After surgery, they were transferred to the angiography room and received uterine arterial embolization (UAE). They were given the diagnosis of the placenta accreta. However, during anesthesia in patients with placenta accreta, incomplete separation of the placenta causes atonic bleeding. And, uncleanliness of the abrasive degree may lead to difficulty in a prediction of bleeding, and control of hemodynamics is difficult. In the caesarian section of the placenta accreta, UAE prevents excessive bleeding during the operation and FloTrac monitor makes it easy to control hemodynamics.

• Authors: Ichiro Kamiya, Isao Fukuda, Yumiko Kitai, Yoshitaka Tsujimoto, Hideo Matsuda, Tomiei Kazama
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 58 Issue 10 Pg. 1261-5 (Oct 2009) ISSN: 0021-4892 [Print] Japan
• PMID: 19860229 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Anesthesia, Epidural
• Anesthesia, Obstetrical
• Blood Loss, Surgical (prevention & control)
• Cesarean Section
• Female
• Hemodynamics
• Humans
• Monitoring, Intraoperative
• Placenta Accreta (therapy)
• Placenta Previa (therapy)
• Pregnancy
• Uterine Artery Embolization