Plasental invazyon anomalisi olan hastalarda anestezi yönetimi: Tek merkez deneyimi

Aim: Postpartum hemorrhage is a life-threatening obstetric emergent clinical situation accompanied by blood loss of more than 500 ml after vaginal delivery and 1000 cesarean section. This situation, frequently encountered in placental adhesion anomalies, essential terms follow-up, treatment, multidisciplinary management. We aimed to retrospectively evaluate the perioperative anesthesia management, transfusion requirement, postoperative intensive care unit requirement patients diagnosed with invasion anomaly who had an intraoperative hemorrhage
 Methods: In our single-center study, total 58 female section between 2017-2020 were examined. Patients under 18 years age missing data excluded from study. Demographic (age, American Society Anesthesiologists score (ASA)), diagnosis, duration operation, laboratory findings, type, hemodynamics (highest heart rate, lowest mean arterial pressure, shock index), amount bleeding, products, fluids used, surgical interventions (B-Lynch, Bacri balloon application, uterine artery ligation, hysterectomy), vasopressor/inotrope use, ICU stay, results first 24 hours postoperatively, hospital stay recorded.
 Results: preoperative evaluation, 27 (46.5%) placenta accreta, previa was 19 (32.7%) patients. Perioperatively 3.08 ± 1.7 units Red cell used. hospitalization, highest lactate value 3.5±1.8 mmol/L, index 1.3±0.3 (0.6-1.8). given fibrinogen concentrate, 1.5±0.2 (0.9-1.8), bleeding 2575±302.2 ml, levels measured surgery 294.7±79.7 mg/dl.
 Conclusions: Anesthesia management abnormal important because significant hemorrhage. Due unstable hemodynamics, product preparation approach plan should be made for these