Academic Journal
Placenta Accreta Spectrum Part II: hemostatic considerations based on an extended review of the literature.
| العنوان: | Placenta Accreta Spectrum Part II: hemostatic considerations based on an extended review of the literature. |
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| المؤلفون: | Enste, Rick, Cricchio, Patrick, Dewandre, Pierre-Yves, Braun, Thorsten, Leonards, Christopher O, Niggemann, Phil, Spies, Claudia, Henrich, Wolfgang, Kaufner, Lutz |
| المصدر: | Journal of Perinatal Medicine, 51 (4), 455 - 467 (2023-05-25) |
| بيانات النشر: | De Gruyter Open Ltd, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | abnormally invasive placenta, anesthesia, coagulopathy, placenta accreta spectrum, placenta percreta, transfusion management, Hemostatics, Pregnancy, Female, Humans, Retrospective Studies, Cesarean Section, Hysterectomy, Placenta, Placenta Accreta/surgery, Hemostatics/therapeutic use, Postpartum Hemorrhage/etiology, Postpartum Hemorrhage/prevention & control, Placenta Previa/surgery, Placenta Accreta, Placenta Previa, Postpartum Hemorrhage, Pediatrics, Perinatology and Child Health, Obstetrics and Gynecology, Human health sciences, Anesthesia & intensive care, Sciences de la santé humaine, Anesthésie & soins intensifs |
| الوصف: | "Placenta Accreta Spectrum" (PAS) is a rare but serious pregnancy condition where the placenta abnormally adheres to the uterine wall and fails to spontaneously release after delivery. When it occurs, PAS is associated with high maternal morbidity and mortality - as PAS management can be particularly challenging. This two-part review summarizes current evidence in PAS management, identifies its most challenging aspects, and offers evidence-based recommendations to improve management strategies and PAS outcomes. The first part of this two-part review highlighted the general anesthetic approach, surgical and interventional management strategies, specialized "centers of excellence," and multidisciplinary PAS treatment teams. The high rates of PAS morbidity and mortality are often provoked by PAS-associated coagulopathies and peripartal hemorrhage (PPH). Anesthesiologists need to be prepared for massive blood loss, transfusion, and to manage potential coagulopathies. In this second part of this two-part review, we specifically reviewed the current literature pertaining to hemostatic changes, blood loss, transfusion management, and postpartum venous thromboembolism prophylaxis in PAS patients. Taken together, the two parts of this review provide a comprehensive survey of challenging aspects in PAS management for anesthesiologists. |
| نوع الوثيقة: | journal article http://purl.org/coar/resource_type/c_6501 article peer reviewed |
| اللغة: | English |
| Relation: | https://www.degruyter.com/document/doi/10.1515/jpm-2022-0233/xml; urn:issn:0300-5577; urn:issn:1619-3997 |
| DOI: | 10.1515/jpm-2022-0233 |
| URL الوصول: | https://orbi.uliege.be/handle/2268/324714 |
| Rights: | open access http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsorb.324714 |
| قاعدة البيانات: | ORBi |
| DOI: | 10.1515/jpm-2022-0233 |
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