[Case of caesarean section using Cell Savers5+ in a patient with the placenta accreta associated with massive hemorrhage].
Placenta accreta which occurs as a complication of total placenta previa is comparatively rare. And the diagnosis of placenta accreta before the caesarean section (C-section) is difficult. We experienced an extremely difficult anesthesia management of placenta accrete because of critical hemorrhage during C-section. We used self-blood collection device Cell Saver5+ (Haemonetics Japan Ltd, Tokyo) for the massive bleeding of 25,500 ml. The Cell Saver could be used to treat life threatening bleeding in C-section without any side effects, although it is thought that the use of the self-blood collection device during C-section had the danger of the amniotic fluid embolism and fetal red cell ontamination. It is necessary to consider using the Cell Saver in the obstetrical operation for life-saving medical treatment in response to unexpected massive bleeding.
Department of Anesthesiology, National Defense Medical College, Tokorozawa 359-0042.
Yoshiyuki
Y
Araki
Isao
I
Fukuda
Ichiro
I
Kamiya
Yoshitaka
Y
Tsujimoto
Shinya
S
Sugahara
Tomiei
T
Kazama
D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous / Q000295:instrumentation* / Q000379:methods; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010921:Placenta Accreta; D011247:Pregnancy