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Chapter 59 - Difficult Obstetrical Airway

from Section 6 - Obstetric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Nicholas Bigler
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

An obese, 25-year-old woman, G1P0, presents for an elective cesarean section secondary to breech presentation of the fetus. She has a medical history significant for asthma and morbid obesity, with a BMI of 42. She had a prior laparoscopic cholecystectomy, at which time she states that she awoke with an incredibly sore throat and a chipped front tooth. She states that she had been told there was some difficulty in putting her to sleep, but is unable to provide further details. What is your plan? Which would you recommend: regional anesthesia, or a general anesthetic approach? Assuming you have to induce general anesthesia, how will you secure the airway?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 254 - 256
Publisher: Cambridge University Press
Print publication year: 2023

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References

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Law, JA, Broemling, N, Cooper, RM, et al. The difficult airway with recommendations for management – Part 1: difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anaesth 2013;60(11):1089–118.Google Scholar
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Mushambi, MC, Kinsella, SM, Popat, M, et al. Obstetric Anaesthetists’ Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia 2015;70:1286–1306.CrossRefGoogle Scholar

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