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

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Conference Proceeding

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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.


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