Obsgynaecritcare

140 The Placenta Accreta Spectrum Team at KEMH Part two.


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Hi Everyone,

Welcome to Part Two of our discussion with two of the founding members of the Placenta Accreta Spectrum Team here at KEMH Dr Matt Epee-Bekima and Dr David Owen. This team was conceived in 2017 and began operating in 2018 – and has now cared for over 75 women with PAS – including 24 alone this year (2024). In this episode we continue our initial discussion with a more detailed dive into:

  • Surgical management – team members, techniques and approach
  • Techniques for catastophic bleeding – manual aortic compression, vascular clamping, interventional radiology
  • Postpartum issues
  • Controversies (ICU vs HDU, leaving placenta in -situ)
  • Thoughts for the future
  • Thanks Matt & David for sharing the experiences and knowledge learnt by the PAS team over the last 7 years.

    References

    https://www.kemh.health.wa.gov.au/~/media/HSPs/NMHS/Hospitals/WNHS/Documents/Clinical-guidelines/Obs-Gyn-Guidelines/Placenta-Accreta.pdf?thn=0

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    ObsgynaecritcareBy Roger Browning - Anaesthetist

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