%0 Journal Article
%T Anesthetic Management in the Abnormal Placental Invasion
%J -
%D 2019
%X Abnormal placental invasion (API) is one of the causes of peripartum hemorrhage. API associated maternal morbidity or mortality is mainly due to massive hemorrhage, in particular after attempts at forced manual removal of the placenta. Several risk factors for API are known and may lead to the diagnosis. Previous cesarean section and placenta previa in present pregnancy constitute major risk factors for API. The perioperative management of patients with API requires close coordination amongst anesthesiologists, obstetricians, interventional radiologists and blood bank providers. Due to the significant risk of massive bleeding complicated by profound hypotension and coagulopathy and a high likelihood of hysterectomy during cesarean delivery, general anesthesia is generally regarded as the anesthetic choice for patients with API. A well-organized hemorrhage protocol using surgical, pharmacologic, and transfusion approaches has an important role in decreasing the morbidity and mortality associated with API. In this review, the perioperative anesthesia management of a patient with abnormal placental invasion will be described
%K Anormal plasental yerle£¿im
%K anestezi y£¿netimi
%K kan transf¨¹zyonu
%U http://dergipark.org.tr/aktd/issue/36275/418016