O&G Cases · Intrapartum care — analgesia and anaesthesia
Failed intubation in obstetric general anaesthesia — emergency management station
Team-based emergency station: failed intubation during obstetric general anaesthesia. Tests the OAA-DAS four-plan algorithm, the wake-or-proceed decision, closed-loop communication, and the team's ability to maintain oxygenation through sequential airway rescue. Includes assessor key and marking domains.
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Station brief
Format. Emergency management station, approximately 12 minutes. You are the obstetric registrar assisting the anaesthetist during a category 1 caesarean under general anaesthesia. Intubation has failed on the first attempt. The assessor feeds you the evolving airway situation and runs the clock. [5]
Candidate instruction. Support the anaesthetist through the OAA-DAS failed-intubation algorithm, verbalise the wake-or-proceed decision, communicate with the surgical team, and be ready to proceed with or pause the surgery depending on the airway status and the fetal condition. [5]
References4ShowHide
- [1]Anim-Somuah M, Smyth RM, Cyna AM, et al. Epidural versus non-epidural or no analgesia for pain management in labour Cochrane Database Syst Rev, 2018.PMID 29781504
- [5]Mushambi MC, Kinsella SM, Popat M, et al. Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of failed tracheal intubation in obstetrics Anaesthesia, 2015.PMID 26449292
- [6]Kinsella SM, Carvalho B, Dyer RA, et al. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia Anaesthesia, 2018.PMID 29090733
- [7]Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors Br J Anaesth, 2014.PMID 25204697