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Re: Question about placenta accreta From: DoctorJoe@aol.com Sat Oct 28 12:13:36 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Wilhelm E. Bucher: "Re: Question about placenta accreta" Previous message: RModugno@aol.com: "Re: Question about placenta accreta" Maybe in reply to: GIN11153@aol.com: "Question about placenta accreta" Next in thread: Efrain Ramirez: "Re: Question about placenta accreta" In a message dated 10/28/06 12:07:42 PM, RModugno@aol.com writes: > > Just curious as to whether someone is thinking that knowing in advance would > have altered the outcome. > > Anna Meenan, MD > > Not necessarily this outcome - but it pays to know in advance. For example; >   > 1) transfer to a center with plenty of blood products and availablity of > surgeons with advanced skills - if one requires them- gyn onc springs to mind. > 2) If bladder involvement is suspected - the presence of your friendly > urologist at surgery would be nice. > 3) Some have advocated the placement of catheters for hypogastric artery > embolization pre-operatively. > 4)Would like to find this out in advance and schedule surgery at a > reasonable time, when all resources are at hand - rather than at 3am. > The step of logic is not KNOWLEDGE-- (improves) -->OUTCOME. The steps of logic are KNOWLEDGE -- (allows for proper) --> PREPARATION -- (statistically improves) --> OUTCOME. Obviously someone with an accreta can "bleed like stink" whether you know it's there or not. But the quick availability of support, fresh heads, etc. will USUALLY make for a better outcome than the skeleton crew in the middle of night just out of bed with no back-up. Sure, in any given patient, they may end up in ICU or with multiple transfusions, but overall, the outcomes will be better. It almost goes without saying that knowledge WITHOUT adequate preparation doesn't do much for you. But I'll say it anyway. In fact, that MIGHT be where the plaintiff's lawyer can get a good toehold. hehe Joe P. Next message: Wilhelm E. Bucher: "Re: Question about placenta accreta" Previous message: RModugno@aol.com: "Re: Question about placenta accreta" Maybe in reply to: GIN11153@aol.com: "Question about placenta accreta" Next in thread: Efrain Ramirez: "Re: Question about placenta accreta"

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