Placenta accreta spectrum anaesthetic management with neuraxial technique can be facilitated by multidisciplinary groups
- Resource Type
- article
- Authors
- Leidy Johanna Lopez-Erazo; Beatriz Sánchez; Luisa Fernanda Blanco; Albaro Jose Nieto-Calvache
- Source
- Indian Journal of Anaesthesia, Vol 65, Iss 2, Pp 153-156 (2021)
- Subject
- anaesthesia obstetrical
interdisciplinary communication
placenta accreta spectrum
Anesthesiology
RD78.3-87.3
- Language
- English
- ISSN
- 0019-5049
0976-2817
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.