Anaes Cases · Obstetric anaesthesia
Failed intubation in the obstetric GA
A focused case on the failed obstetric intubation — declare, oxygenate with the supraglottic airway, wake if category 2 or below, proceed only if category 1 and the airway is secured.
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Prompt
During a category 1 caesarean GA, the first and second laryngoscopy attempts give a grade 4 view. The saturation is 92 per cent and falling. Outline your immediate management.
Presentation
A category 1 caesarean under GA. After induction with thiopental and suxamethonium, the first and second laryngoscopy attempts give a grade 4 view. The patient cannot be intubated. The oxygen saturation is 92 per cent and falling. Mask ventilation with cricoid pressure is attempted.
References2ShowHide
- [4]Mushambi MC, et al. Anticipated difficult airway during obstetric GA. Anaesthesia, 2020.PMID 32144770
- [5]White LD, et al. Comparison of Supraglottic Airway Devices With Endotracheal Intubation in Low-Risk Patients for Cesarean Delivery: Systematic Review and Meta-analysis. Anesthesia & Analgesia, 2020.PMID 32925330