Management of difficult and failed intubation in obstetrics

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Difficult and failed intubation in obstetrics.

Obstetric general anaesthesia is associated with a number of deleterious effects and it has long been recognized that airway management can be challenging and tracheal intubation more likely to fail. Failed intubation and subsequent inadequate ventilation is an important cause of maternal mortality and morbidity. General anaesthesia for Caesarean section has dramatically declined in many nation...

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Failed intubation in obstetrics

C understand the importance of cognitive management in dealing with stressful scenarios. Abstract Failed intubation in obstetrics is rare. However, if the situation is not managed appropriately the consequences for the mother and newborn may be catastrophic. The skill of managing the airway seems to be decreasing, primarily because the skills are not being practised in general or obstetric anae...

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Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics*

The Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia. They comprise four algorithms and two tables. A master algorithm provides an overview. Algorithm 1 gives a framework on how to optimise a safe general anaesthetic technique in ...

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Difficult tracheal intubation in obstetrics.

Difficult intubation has been classified into four grades, according to the view obtainable at laryngoscopy. Frequency analysis suggests that, in obstetrics, the main cause of trouble is grade 3, in which the epiglottis can be seen, but not the cords. This group is fairly rare so that a proportion of anaesthetists will not meet the problem in their first few years and may thus be unprepared for...

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Difficult and failed intubation in 3430 obstetric general anaesthetics.

A retrospective audit was performed of all obstetric general anaesthetics in our hospital over an 8 year period to determine the incidence of difficult and failed intubation. Data was collected from a number of sources to ensure accuracy. A total of 3430 rapid sequence anaesthetics were given. None of the patients had a failed or oesophageal intubation (95% CI, 0-1:1143). There were 23 difficul...

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ژورنال

عنوان ژورنال: BJA CEPD Reviews

سال: 2001

ISSN: 1472-2615

DOI: 10.1093/bjacepd/1.4.117