Anesthetic Management of Placenta Accreta Spectrum Disorders: A Narrative Review

Placenta accreta spectrum (PAS) is a rapidly increasing medical condition due to the high prevalence of cesarean section procedures worldwide. PAS presents in various ways and is a high-risk condition, often leading to parturient morbidity and death. Management of patients with PAS can be very challenging due to its rarity, the lack of high-quality evidence, and its associated anesthetic and surgical challenges. This review provides up-to-date information on detection, surgical management, and anesthetic management using the currently available evidence. This article highlights the parturient course of care from the first antenatal visit to the postoperative period, including preoperative and intraoperative evaluation and postoperative disposition of such patients. We discuss the various anesthetic techniques provided to the parturient and how to manage their downfalls, focusing on improved patient care and outcomes throughout the course of pregnancy.