Anaesthetic management of placenta accreta in hybrid operation theatre – A case report

Abstract

Introduction: Placenta accreta is a type of abnormal placentation where the placenta is adherent to the implantation site with an absent decidua and may produce life threatening challenges including major obstetric haemorrhage, need for peripartum hysterectomy and maternal and foetal morbidity and mortality. Although patients with placenta accreta are at high risk of massive haemorrhage, by using multi-disciplinary team approach and careful planning we can manage a patient with placenta accreta under neuraxial anaesthesia in hybrid operation theatre. We report a case of successful obstetric and anaesthetic management of a patient with diagnosed placenta accreta. Keywords: Placenta accreta, placenta increta, obstetric haemorrhage, hybrid theatre, multidisciplinary approach, subarachnoid block.