Challenges of obstetric anesthesia: Difficult laryngeal visualization

Zekeriyya Alanoğlu, Süheyla Karadağ Erkoç, Çiğdem Yildirim Güçlü, Basak Ceyda Orbey Meço, Volkan Baytaş, Özlem Selvi Can, Neslihan Alkiş

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Obstetric anesthesia is one of the high risk subspecialties of anesthesia practice. Anesthesia related complications are the sixth leading cause of maternal mortality. Difficult or failed intubation following induction of general anesthesia for CS remains the major contributory factor to anesthesia-related maternal complications. The airway management of obstetric patients is a challenging issue for several reasons. Anatomic and physiologic changes related to pregnancy may increase the difficult and failed intubation rates compared to the general surgical population. Proper evaluation of the airway anatomy and airway structures is vital to prevent airway management related catastrophes. In addition to basic airway and intubation equipment, each anesthesia department must have difficult intubation equipment cart including fiber optic laryngoscope, video laryngoscopes, and different types of laryngeal masks. It is essential that all anesthesiologists have a preconceived and well thought-out algorithm and emergency airway equipment to deal with airway emergencies during difficult or failed intubation of a parturient.

Original languageEnglish
Pages (from-to)68-72
Number of pages5
JournalActa Clinica Croatica
Volume55
DOIs
StatePublished - 2016

Keywords

  • Airway management
  • Airway obstruction
  • Anesthesia, general
  • Anesthesia, obstetrical
  • Intubation, intratracheal

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