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Chapter 22 - The Airway in Obstetrics

from Section 2 - Airway Management: Clinical Settings and Subspecialties

Published online by Cambridge University Press:  03 October 2020

By
Wendy H. Teoh  and
Mary C. Mushambi
Edited by
Tim Cook  and
Michael Seltz Kristensen
Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
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Summary

Airway management and failed intubation in the pregnant woman present unique challenges which differ from the non-pregnant patient. The provision of general anaesthesia in the obstetric population requires additional considerations of the physiological changes in pregnancy, environmental factors and the safe outcome of mother and baby. Appropriate team planning, preparation and performance of rapid sequence induction should be carried out in order to help to reduce adverse airway events. The OAA/DAS guidelines are designed to help to standardise teaching, reduce the incidence of failed intubation and give guidance on further management should failed intubation occur.

Keywords

Difficult airwayfailed intubationgeneral anaesthesiaobstetric
Type
Chapter
Information
Core Topics in Airway Management , pp. 185 - 191
Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Cantwell, R, Clutton-Brock, T, Cooper, G, et al. (2011). 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. British Journal of Obstetrics and Gynaecology, 118 (Suppl 1), 1–203.Google ScholarPubMed
Kinsella, SM, Winton, ALS, Mushambi, MC, et al. (2015). Failed tracheal intubation during obstetric general anaesthesia: a literature review. International Journal of Obstetric Anesthesia, 24, 356–374.CrossRefGoogle ScholarPubMed
Mushambi, MC, Kinsella, SM, Popat, M, et al. (2015). Obstetric Anaesthetists’ Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia, 70, 1286–1306.Google Scholar
Mushambi, MC, Athanassoglou, V, Kinsella, SM. (2020). Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations. Anaesthesia, 75, 852–5.CrossRefGoogle Scholar
Platt, F, Lucas, N, Bogod, DG. (2014). Awareness in obstetrics. In: Fifth National Audit Project of the Royal College of Anaesthetists and Association of Anaesthetists of Great Britian and Ireland: Accidental awareness during general anaesthesia in the UK and Ireland. Editors Pandit JJ, Cook TM. London: Royal College of Anaesthetists. pp. 133–143. ISBN 978-1-900936-11-8. Available at: https://www.nationalauditprojects.org.uk/NAP5report#pt.Google Scholar
Quinn, AC, Milne, D, Columb, M, Gorton, H, Knight, M. (2013). Failed tracheal intubation in obstetric anaesthesia: 2 yr national case-control study in the UK. British Journal of Anaesthesia, 110, 74–80.Google Scholar

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