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Neuraxial Anesthesia During Cesarean Delivery for Placenta Previa With Suspected Morbidly Adherent Placenta

A Retrospective Analysis

Markley, J.C.; Farber, M.K.; Perlman, N.C.; Carusi, D.A.

doi: 10.1097/01.aoa.0000552925.04369.df
Anesthesia and Analgesia: Regional Anesthesia

(Anesth Analg. 2018;127:930–938)

The coincident state of placenta previa and morbidly adherent placenta (MAP) is associated with an increased risk of complications for women during delivery. Cesarean deliveries (CDs) with placenta previa and MAP are thereby often performed under general anesthesia (GA), as GA can facilitate large-volume resuscitation while avoiding sympathectomy-induced hypotension, an uncontrolled airway, and an indwelling catheter in conjunction with an altered coagulation state. The authors of the present study reported a single-center retrospective analysis of the mode of anesthesia for cases of nonemergent CD with placenta previa and suspected MAP and identified risk factors for nonelective conversion from neuraxial anesthesia (NA) to GA.

Department of Anesthesia and Perioperative Care, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, CA

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