Adverse airway events in parturient compared with non-parturient patients. Is there a difference? Results from a quality management project

The Journal of Obstetrics and Gynaecology Research
Sebastian HeinrichJoachim Schmidt

Abstract

The fear of airway problems often leads to prolonged attempts to obtain neuroaxial (spinal anesthesia or epidural anesthesia) anesthesia in obstetric anesthesia. The aim of this institutional quality management study was to revisit existing anesthesia care in the obstetric department, focusing on the frequency of delayed or failed neuroaxial anesthesia as well as the risk of airway problems in parturient and non-obstetric patients. The clinical records from 8 consecutive years (2005-2013) were analyzed retrospectively. Cases of cesarean delivery with general anesthesia were analyzed and compared with an age-matched group of female patients undergoing non-obstetric abdominal or gynecological surgery with rapid sequence induction. Poor laryngeal visualization (Cormack-Lehane grade III or IV) and failed intubation were recorded. The records of 6393 cesarean deliveries including 851 with general anesthesia were analyzed. In 175 cases insufficient or delayed onset of regional anesthesia led to requirement for general anesthesia. The rate of poor laryngoscopic view in parturient women undergoing cesarean delivery was 14/851, and 4/814 in the reference group (P = 0.023). Failed intubation occurred in three patients undergoing cesarean...Continue Reading

References

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Citations

Feb 22, 2017·Chinese Medical Journal·Zhi-Yu Geng, Dong-Xin Wang

Nov 27, 2020·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·Jessica WladarzChristina Massoth
Jun 19, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group

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