Accreta Spectrum
Abnormally adherent placenta requiring multidisciplinary surgical approach and intensive anesthetic management.
Full Definition
Accreta spectrum disorders encompass placenta accreta, increta, and percreta, representing abnormal placental invasion into or through the uterine wall. These conditions require highly specialized anesthetic management due to the risk of massive hemorrhage, potential for hysterectomy, and need for multidisciplinary surgical teams. Anesthetic planning includes central venous access, arterial monitoring, massive transfusion protocol activation, and often staged procedures with interventional radiology. The complexity may necessitate intensive care unit admission and requires careful coordination between obstetrics, anesthesia, urology, and other surgical specialties depending on the extent of invasion.
Usage
Usage note: Document specific type (accreta, increta, percreta) and multidisciplinary involvement in anesthetic records.
In Context
- "Suspected accreta spectrum prompted arterial line placement and massive transfusion protocol." — High-risk obstetric anesthesia plan
- "The multidisciplinary team managed accreta spectrum with staged surgical approach under general anesthesia." — Complex operative report