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Updated: Jun 5, 2025

Ex Vivo Perfusion of the Rodent Placenta
Published on: May 30, 2019
Anesthetic Considerations and Blood Utilization for Placenta Accreta Spectrum
1Beth Israel Deaconess Medical Center, Harvard Medical School.
Abstract:
The anesthetic management of the patient with placenta accreta spectrum begins before surgery by assessing the patient and their comorbidities and providing psychological preparation for the perioperative period. Choosing neuraxial or general anesthesia for surgery balances the procedure's clinical needs with the patient's desires. Intraoperatively, management of homeostasis during acute blood loss requires assessments of central volume to avoid over-transfusion. Viscoelastic testing may be useful to assess coagulation to target the replacement of coagulation factors. Postoperative care is an essential continuum of the procedure, and the availability of bedside ultrasound can aid rapid decision-making.
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