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Canadian Journal of Anesthesia, Vol 43, 246-248, Copyright © 1996 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthesia for caesarean hysterectomy in a patient with a preoperative diagnosis of placenta percreta with invasion of the urinary bladder

T Hunter and S Kleiman
SMBD-Jewish General Hospital, Department of Anaesthesia, Montreal, Quebec, Canada.

PURPOSE: Placenta Percreta with invasion of the urinary bladder is a rare condition, which carries a high morbidity and mortality risk for mother and fetus. We present a case which illustrates some of the complexities of perioperative management. PRINCIPAL FINDINGS: Anaesthetic considerations include those of the pregnant patient and fetus, potential need for massive transfusion, and possible development of coagulopathy. Ideally, these cases should be diagnosed early enough in pregnancy to allow a multidisciplinary team approach to the management of mother and fetus. CONCLUSION: The perioperative care of a patient with placenta previa is complicated but, with a multidisciplinary approach, may be successful.


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A. J. Fuller, B. Carvalho, C. Brummel, and E. T. Riley
Epidural Anesthesia for Elective Cesarean Delivery with Intraoperative Arterial Occlusion Balloon Catheter Placement
Anesth. Analg., February 1, 2006; 102(2): 585 - 587.
[Abstract] [Full Text] [PDF]


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Copyright © 1996 by the Canadian Anesthesiologists' Society.