Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly
Background. In this study, patients who underwent cesarean section and had placenta previa and placenta accreta were examined and compared in terms of haemorrhagic indicators and perioperative anesthetic management. Methods. A retrospective study was conducted in a university hospital in Kahramanmar...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/1358258 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849472795341225984 |
|---|---|
| author | Aykut Urfalıoglu Gözen Öksüz Bora Bilal Seyma Teksen Feyza Calışır Ömer Faruk Boran Hafize Öksüz |
| author_facet | Aykut Urfalıoglu Gözen Öksüz Bora Bilal Seyma Teksen Feyza Calışır Ömer Faruk Boran Hafize Öksüz |
| author_sort | Aykut Urfalıoglu |
| collection | DOAJ |
| description | Background. In this study, patients who underwent cesarean section and had placenta previa and placenta accreta were examined and compared in terms of haemorrhagic indicators and perioperative anesthetic management. Methods. A retrospective study was conducted in a university hospital in Kahramanmaras, Turkey. It included 95 pregnant women who had placental anomaly and underwent cesarean section between December 15, 2014, and February 15, 2016. Results. The pregnant women were divided into two groups: Group P (previa) (n = 67) and Group A (accreta) (n = 28). The types of anesthesia administered were general anesthesia (GA), which was administered to 50 patients (74.6%) in Group P and 27 patients (96.4%) in Group A, and spinal anesthesia (SA), which was administered to 17 patients (25.4%) in Group P and one patient (3.6%) in Group A.. The mean blood loss was 685.82 ± 262.82 in Group P and 1582.14 ± 790.71 in Group A, and the given amount of crystalloid was higher in Group A with an average of 1628.57 ± 728.19 ml. The use of erythrocyte and fresh frozen plasma solution was higher in Group A than Group P. Eleven patients were intubated and taken to the Intensive Care Unit (ICU) in Group A. Postoperative mechanical ventilation duration was significantly higher in Group A (75.14 ± 43.84 h) (p<0.001). ICU stay was longer in Group A with 2.80 ± 1.13 days. (p<0.001). Conclusion. The intraoperative management and the availability of postoperative ICU conditions are important in placental anomalies cases. The communication between operation team with regard to the development of a standard protocol for these cases will be of great benefit in reducing morbidity and mortality. |
| format | Article |
| id | doaj-art-da8e20ed70f843bc862d9d61a26038f2 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-da8e20ed70f843bc862d9d61a26038f22025-08-20T03:24:25ZengWileyAnesthesiology Research and Practice1687-69621687-69702020-01-01202010.1155/2020/13582581358258Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental AnomalyAykut Urfalıoglu0Gözen Öksüz1Bora Bilal2Seyma Teksen3Feyza Calışır4Ömer Faruk Boran5Hafize Öksüz6Department of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyDepartment of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyDepartment of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyDepartment of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyDepartment of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyDepartment of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyDepartment of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, TurkeyBackground. In this study, patients who underwent cesarean section and had placenta previa and placenta accreta were examined and compared in terms of haemorrhagic indicators and perioperative anesthetic management. Methods. A retrospective study was conducted in a university hospital in Kahramanmaras, Turkey. It included 95 pregnant women who had placental anomaly and underwent cesarean section between December 15, 2014, and February 15, 2016. Results. The pregnant women were divided into two groups: Group P (previa) (n = 67) and Group A (accreta) (n = 28). The types of anesthesia administered were general anesthesia (GA), which was administered to 50 patients (74.6%) in Group P and 27 patients (96.4%) in Group A, and spinal anesthesia (SA), which was administered to 17 patients (25.4%) in Group P and one patient (3.6%) in Group A.. The mean blood loss was 685.82 ± 262.82 in Group P and 1582.14 ± 790.71 in Group A, and the given amount of crystalloid was higher in Group A with an average of 1628.57 ± 728.19 ml. The use of erythrocyte and fresh frozen plasma solution was higher in Group A than Group P. Eleven patients were intubated and taken to the Intensive Care Unit (ICU) in Group A. Postoperative mechanical ventilation duration was significantly higher in Group A (75.14 ± 43.84 h) (p<0.001). ICU stay was longer in Group A with 2.80 ± 1.13 days. (p<0.001). Conclusion. The intraoperative management and the availability of postoperative ICU conditions are important in placental anomalies cases. The communication between operation team with regard to the development of a standard protocol for these cases will be of great benefit in reducing morbidity and mortality.http://dx.doi.org/10.1155/2020/1358258 |
| spellingShingle | Aykut Urfalıoglu Gözen Öksüz Bora Bilal Seyma Teksen Feyza Calışır Ömer Faruk Boran Hafize Öksüz Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly Anesthesiology Research and Practice |
| title | Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly |
| title_full | Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly |
| title_fullStr | Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly |
| title_full_unstemmed | Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly |
| title_short | Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly |
| title_sort | retrospective evaluation of anesthetic management in cesarean sections of pregnant women with placental anomaly |
| url | http://dx.doi.org/10.1155/2020/1358258 |
| work_keys_str_mv | AT aykuturfalıoglu retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly AT gozenoksuz retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly AT borabilal retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly AT seymateksen retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly AT feyzacalısır retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly AT omerfarukboran retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly AT hafizeoksuz retrospectiveevaluationofanestheticmanagementincesareansectionsofpregnantwomenwithplacentalanomaly |