Özden DAŞ, Berrin GÜNAYDIN, NURAY BOZKURT, DEMET COŞKUN, Hakan DAYANIR

Plesenta previa ve ablasyo plesenta olan iki gebede sezaryen için spinal anestezi

Masif hemoraji riskinin yüksek olduğu antepartum kanama nedenlerinden plasenta previa ve ablasyo plasenta olan 2 gebenin anestezi yönetimindeki olası sorunlar karşısında alınması gereken tedbirler sunulmuştur. Öncelikle plesenta previa’ya bağlı olası masif hemoraji riski olan ilk olguda spinal anestezi uygulanmış sonrasında kanamaya bağlı ikinci açılışta genel anestezi uygulanmıştır. Ablasyo plasentası olan ikinci olguda da spinal anestezi tercih edilmiştir.

Spinal anesthesia for cesarean section in two parturients with placenta previa and abruptio placenta

Precautions that have to be taken against potential problems in the anesthetic management of two parturients with placenta previa and placental abruption which are causes of antenatal bleeding with increased risk of massive hemorrhage have been presented. Primarily, spinal anesthesia was performed in the 1st case having potential risk of massive hemorrage due to plasenta previa and then followed by general anesthesia for the second exlploration due to bleeding. Spinal anesthesia was also preferred for the 2nd case having ablatio plasenta.

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