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Peripartum Anesthesia Considerations for Placenta Accreta

机译:Peripartum麻醉对胎盘accreTa的考虑因素

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摘要

Placenta accreta spectrum is becoming more common and is the most frequent indication for peripartum hysterectomy. Management of cesarean delivery in the setting of a morbidly adherent placenta has potential for massive hemorrhage, coagulopathies, and other morbidities. Anesthetic management of placenta accreta spectrum presents many challenges including optimizing surgical conditions, providing a safe and satisfying maternal delivery experience, preparing for massive hemorrhage and transfusion, preventing coagulopathies, and optimizing postoperative pain control. Balancing these challenging goals requires meticulous preparation with a thorough preoperative evaluation of the parturient and a well-coordinated multidisciplinary approach in order to optimize outcomes for the mother and fetus.
机译:胎盘ACCRETA谱变得越来越常见,并且是Peripartum子宫切除术的最常见迹象。 在病态粘附的胎盘的环境中循环递送的管理有巨大出血,凝血病和其他生命的潜力。 胎盘的麻醉管理涉及许多挑战,包括优化手术条件,提供安全和满足的母体递送经验,为大规模出血和输血,预防凝结性和优化术后疼痛控制。 平衡这些挑战性目标需要细致的准备,并彻底术前评估父母和良好协调的多学科方法,以优化母亲和胎儿的结果。

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