Safety of regional anesthesia during delivery in pregnant women with placenta increta


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Resumo

Background. The incidence of abnormal placental invasion has increased fourfold in the past 40 years. There is no consensus of opinion on intraoperative analgesia in this pathology. Regional anesthesia techniques have been used more frequently to improve delivery outcomes. Description. This paper presents 3 clinical cases of delivery in patients with confirmed placenta increta. Conclusion. Regional anesthesia can currently serve as the technique of choice for cesarean section in patients with placenta increta. The decision to transfer to general anesthesia is made depending on the specific clinical situation. Combined spinal and epidural anesthesia is safe and effective during elective surgical delivery in patients with placenta increta. The emergency nature of surgery and the uncontrolled bleeding-related need for hysterectomy are the risk factors for transition to general anesthesia.

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Sobre autores

Aleksey Korolev

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_korolev@oparina4.ru,nimbeks@mail.ru
doctor of the Department of Anaesthesiology and Resuscitation, assistant of the Department of Anesthesiology and Resuscitation

Aleksey Pyregov

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_pyregov@oparina4.ru
MD, associate professor, head of the Department of Anesthesiology and Resuscitation

Tatyana Fedorova

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: t_fyodorova@oparina4.ru
MD, professor, head of Transfusiology and Extracorporal Hemocorrection Department

Roman Shmakov

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: r_shmakov@oparina4.ru
MD, professor, chief medical officer

Yuri Gerasimov

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: u_gerasimov@oparina4.ru
head of Clinical Work, Department of Anesthesiology and Resuscitation

Margarita Shpiluk

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: m_shpiluk@oparina4.ru
researcher of Laboratory of Clinical Immunology

A. Medvedeva

Pirogov Russian National Research Medical University

Email: medvedevavnya@mail.ru
6th year student

Bibliografia

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