Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-cjp7w Total loading time: 0 Render date: 2024-07-02T21:08:43.495Z Has data issue: false hasContentIssue false

Chapter 32 - Management of an Anticipated and Unanticipated Difficult Airway in a Pregnant Patient

Published online by Cambridge University Press:  08 March 2019

By
Mary C. Mushambi  and
Karunakaran Ramaswamy
Edited by
Tauqeer Husain ,
Roshan Fernando  and
Scott Segal
Tauqeer Husain
Affiliation:
Ashford and St Peter’s NHS Foundation Trust, Surrey
Roshan Fernando
Affiliation:
Womens Wellness and Research Centre, Hamad Medical Corporation, Qatar
Scott Segal
Affiliation:
Wake Forest University, North Carolina
Get access

Summary

A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Obstetric Anesthesiology
An Illustrated Case-Based Approach
 , pp. 171 - 179
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kinsella, SM, Winton, ALS, Mushambi, MC, et al. Failed tracheal intubation during obstetric general anesthesia: a literature review. Int J Obstetc Anesth 2015; 24:356–74.Google Scholar
Quinn, AC, Milne, D, Columb, M, Gorton, H, Knight, M. Failed tracheal intubation in obstetric anaesthesia: 2-year national case-control study in the UK. Br J Anaesth 2013; 110:74–80.CrossRefGoogle Scholar
Searle, RD, Lyons, G. Vanishing experience in training for obstetric general anesthesia: an observational study. Int J Obstet Anesth 2008; 17:233–37.Google Scholar
Smith, NA, Tandel, A, Morris, RW. Changing patterns in endotracheal intubation for anaesthesia trainees: a retrospective analysis of 80,000 cases over 10 years. Anaesth Intensive Care 2011; 39:585–89.Google Scholar
Naikmasur, VG, Sattur, AP, Kirty, RN, Thakur, AR. Type III Klippel-Feil syndrome: case report and review of associated craniofacial anomalies. Odontology 2011; 99:197–202.Google Scholar
Thomsen, MN, Schneider, U, Weber, M, Johannisson, R, Niethard, FU. Scoliosis and congenital anomalies associated with Klippel-Feil syndrome types I–III. Spine 1997; 22 :396–401.CrossRefGoogle ScholarPubMed
McShane, PM, Heyl, PS, Epstein, MF. Maternal and perinatal morbidity resulting from placenta previa. Obstet Gynecol 1985; 65:176–82.Google ScholarPubMed
Knight, M, UKOSS. Peripartum hysterectomy in the UK: management and outcomes of the associated haemorrhage. BJOG 2007; 114:1380–87.CrossRefGoogle ScholarPubMed
Popat, MT, Srivastava, M, Russell, R. Awake fibreoptic intubation skills in obstetric patients: a survey of anaesthetists in the Oxford region. Anaesthesia for predicted difficult airway. Int J Obstet Anesth 2000; 9:78–82.CrossRefGoogle ScholarPubMed
Dresner, M, Maclean, A. Anaesthesia for caesarean section in a patient with Klippel-Feil syndrome: the use of a microspinal catheter. Anaesthesia 1995; 50:807–9.CrossRefGoogle Scholar
Cavanagh, T, Jee, R, Kilpatrick, N, Douglas, J. Elective cesarean delivery in a parturient with Klippel-Feil syndrome. Int J Obstet Anesth 2013; 22(4):343–48.Google Scholar
Pan, PH, Bogard, TD, Owen, MD. Incidence and characteristics of failures in obstetric neuraxial analgesia and anesthesia: a retrospective analysis of 19,259 deliveries. Int J Obstet Anesth 2004; 13(4):227–33.Google Scholar
Palmer, CM. Continuous spinal anesthesia and analgesia in obstetrics. Anesth Analg 2010; 111:1476–79.CrossRefGoogle ScholarPubMed
Woods, JR, Plessinger, MA, Clark, KE. Effect of cocaine on uterine blood flow and fetal oxygenation. JAMA 1987; 257:957–61.Google Scholar
Addis, A, Moretti, ME, Ahmed Syed, F, Einarson, TR, Koren, G. Fetal effect of cocaine: an updated meta-analysis. Reprod Toxicol 2001; 15:341–69.Google Scholar
Puchner, W, Egger, P, Puhringer, F, et al. Evaluation of remifentanil as a single drug for awake fibreoptic intubation. Acta Anaesthesiol Scand 2002; 46:350–54.CrossRefGoogle Scholar
Rai, MR, Parry, TM, Dombrovskis, A, Warner, OJ. Remifentanil target-controlled infusion vs propofol target-controlled infusion for conscious sedation for awake fibreoptic intubation: a double-blinded randomized, controlled trial. Br J Anaesth 2008; 100:125–30.CrossRefGoogle ScholarPubMed
Johnston, KD, Rai, MR. Conscious sedation for awake fibreoptic intubation: a review of the literature. Can J Anaesth 2013; 60:584–99.Google Scholar
Popat, M, Russell, R. Awake fiberoptic intubation following previous failed intubation. Int J Obstet Anesth 2001; 10:332–33.Google ScholarPubMed
Ovassapian, A, Krejcie, TC, Yelich, SJ, Dykes, MH. Awake fibreoptic intubation in the patient at high risk of aspiration. Br J Anaesth 1989; 62:13–16.CrossRefGoogle ScholarPubMed
Mackenzie, I. A new method of drug application to the nasal passage. Anaesthesia 1998; 53:309–10.Google Scholar
Williams, KA, Barker, GL, Harwood, RJ, Woodall, NM. Combined nebulized and spray-as-you-go topical local anaesthesia of the airway. Br J Anaesth 2005; 95(4):549–53.Google Scholar
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; 70:1286–306.CrossRefGoogle Scholar
Cook, TM, Woodall, N, Frerk, C, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society, Part 1: Anaesthesia. Br J Anaesth 2011; 106:617–31.Google Scholar
Kristensen, MS, Teoh, WHL, Baker, PA. Percutaneous emergency airway access: prevention, preparation, teaching and training. Br J Anaesth 2015; 114(3):357–61.Google Scholar
Cantwell, R, Clutton-Brock, T, Cooper, G, et al. Saving mothers’ lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG 2011; 118(Suppl 1):1–203.Google Scholar
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; 113:549–59.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×