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Placenta Praevia (Organisation of Teams (Paeds, Obstetrics, Theatre staff,…
Placenta Praevia
Organisation of Teams
Paeds
Obstetrics
Theatre staff
Timing
ICU/HDU bed available
Anterior Placenta Praevia + Previous C-section =
ACCRETA
MAJOR HAEMORRHAGE RISK
Subtotal or total hysterectomy
GA
ICU/HDU
Major = Entirely covers OS
Major Bleeding
Large bore IV access x2
Consider arterial line
Cell saver
Temperature
Fluid warming
Forced air warmer
Tranexamic Acid
Antibodies and Rh
GA
Airway
C-MAC
Pillow
Opiates
Short Acting for intubation
Morphine or Oxycodone IV
Post-op Pain
PCA
Adjuncts
TAP blocks
Aspiration risk high
RSI
Pre-op conditioning
Iron infusions
X-match
Check antibodies and group
Elective vs Emergency Presentation
Minor =Not entirely covering OS
Consider spinal
IV Access
X-match and antibody check
Temperature
Counselling
GA
ICU/HDU
Pain
Awareness