Indian Journal of Anaesthesia (Jan 2021)

Placenta accreta spectrum anaesthetic management with neuraxial technique can be facilitated by multidisciplinary groups

  • Leidy Johanna Lopez-Erazo,
  • Beatriz Sánchez,
  • Luisa Fernanda Blanco,
  • Albaro Jose Nieto-Calvache

DOI
https://doi.org/10.4103/ija.IJA_1216_20
Journal volume & issue
Vol. 65, no. 2
pp. 153 – 156

Abstract

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Background: The concern about massive haemorrhage associated with placenta accreta spectrum (PAS) prompts the routine use of general anaesthesia (GA) at many centres. We aimed to describe the effects of establishing a fixed multidisciplinary team (PAS team) on anaesthetic practices and clinical results. Methods: In this before-and-after study, we included patients with prenatal PAS suspicion treated between December 2011 and December 2019. We evaluated the anaesthetic techniques used before (Group 1) and after (Group 2) a PAS team was established. Results: Eighty-one patients were included. Neuraxial anaesthesia (NA) was used in 23.3% of group 1 patients and 76.4% of group 2 patients. Likewise, the frequency of conversion to GA after initial management with NA decreased from 14.3% in group 1 to 7.7% in group 2. Conclusions: The establishment of a PAS team is related to increased use of NA during the management of PAS patients.

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