[Epidural anesthesia for five caesarian sections in patients with placenta previa percreta combined with placenta accreta].
We gave anesthesia for five cases of caesarian section in patients with placenta previa percreta combined with placenta accreta. Five caesarian sections were performed under epidural anesthesia and placentae remained in the uterus. After surgery, they were transferred to the angiography room and received uterine arterial embolization (UAE). They were given the diagnosis of the placenta accreta. However, during anesthesia in patients with placenta accreta, incomplete separation of the placenta causes atonic bleeding. And, uncleanliness of the abrasive degree may lead to difficulty in a prediction of bleeding, and control of hemodynamics is difficult. In the caesarian section of the placenta accreta, UAE prevents excessive bleeding during the operation and FloTrac monitor makes it easy to control hemodynamics.
Department of Anesthesia, National Defense Medical College Hospital, Tokorozawa 359-8513.
Ichiro
I
Kamiya
Isao
I
Fukuda
Yumiko
Y
Kitai
Yoshitaka
Y
Tsujimoto
Hideo
H
Matsuda
Tomiei
T
Kazama
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002585:Cesarean Section; D005260:Female; D006439:Hemodynamics; D006801:Humans; D016343:Monitoring, Intraoperative; D010921:Placenta Accreta / Q000628:therapy*; D010923:Placenta Previa / Q000628:therapy*; D011247:Pregnancy; D055357:Uterine Artery Embolization