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Awake fibreoptic intubation following failed regional anaesthesia for Caesarean section in a parturient with Still's disease

Published online by Cambridge University Press:  16 August 2006

M. T. Popat ,
J. H. Chippa  and
R. Russell
M. T. Popat
Affiliation:
Nuffield Department of Anaesthetics, Oxford Radcliffe Hospital, Oxford OX3 OPF, UK
J. H. Chippa
Affiliation:
Nuffield Department of Anaesthetics, Oxford Radcliffe Hospital, Oxford OX3 OPF, UK
R. Russell
Affiliation:
Nuffield Department of Anaesthetics, Oxford Radcliffe Hospital, Oxford OX3 OPF, UK
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Abstract

The anaesthetic management of a 25-year-old parturient with juvenile rheumatoid arthritis (Still's disease) and a difficult airway presenting for elective Caesarean section is described. Inadequate block after epidural anaesthesia necessitated general anaesthesia. This was safely accomplished by securing the airway with awake oral fibreoptic intubation before general anaesthesia was induced. The problems of performing an awake fibreoptic intubation in a pregnant patient are discussed and a simple method for performing the technique is described.

Keywords

anaesthesiaobstetricfibreoptic intubation
Type
Clinical Letter
Information
European Journal of Anaesthesiology , Volume 17 , Issue 3 , March 2000 , pp. 211 - 214
Copyright
2000 European Society of Anaesthesiology

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