Placenta Accreta Preparation — FRCA Final MCQ

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HardObstetric AnaesthesiaPlacenta Accreta PreparationFRCA Final

Placenta praevia major with MRI suggesting accreta. Most important anaesthetic preparation?

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Correct answer: D — Massive haemorrhage prep: cell salvage, rapid infuser, IR standby, ICU bed, invasive monitoring

Placenta accreta spectrum: catastrophic haemorrhage risk (average 3-5L). MDT, cell salvage with leucodepletion filter, rapid infuser, invasive monitoring (art line + CVC), crossmatched blood (min 6 units), MTP activation, IR for balloon occlusion, ICU bed.

Reference: RCOG – 2024 – GTG 27a: Placenta praevia and accreta spectrum