Anesthetic Considerations In Managing Emergent Uterine Rupture And The Warning Signs To Look For

Authors

Nitin Venkatesch, Oakland University William Beaumont School of Medicine Medical Student
Stephan Sau, Beaumont Health Resident
Moumen F. Asbahi, Beaumont Health

Document Type

Conference Proceeding

Publication Date

10-24-2022

Abstract

A 35 y.o G5P1212 at 32 weeks w/ PMHx of sickle cell disease and classical uterine scar presented via EMS to OB triage. Prior to establishing adequate PIV access, the patient lost consciousness with concomitant profound fetal bradycardia and was rushed to emergent cesarean delivery. Following RSI induction and uneventful intubation, uterine rupture was noted during C-section, further complicated by placenta accreta. Anesthetic management was complicated by limited history, inadequate and difficult IV access, and provision of unmatched pRBCs in an antibody positive patient. We will discuss the signs, symptoms, and anesthetic management of this obstetric emergency.

Comments

American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.

Recommended Citation

Venkatesh N, Lau S, Asbahi M. Anesthetic considerations in managing emergent uterine rupture and the warning signs to look for. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.