Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations

Anaesthesia
M C MushambiS M Kinsella

Abstract

We reviewed the literature on management of general and regional anaesthesia in pregnant women with anticipated airway difficulty. We identified 138 publications comprising 158 cases; these either described equipment or techniques for the provision of general anaesthesia, or the management of women with regional analgesia or anaesthesia, with the aim of avoiding general anaesthesia. Most of the former group described women requiring caesarean section alone, or in combination with other surgery, which was sometimes airway-related. Management techniques were largely similar to those in non-obstetric patients requiring surgery who have airway difficulties, although suggested differences related to physiological changes of pregnancy and avoidance of nasal intubation. In the reports discussing regional anaesthesia, consideration was often given to the possible requirement for urgent out-of-hours anaesthetic intervention, and the predicted difficulty of management of general anaesthesia should it be required. In a number of reported cases, multidisciplinary planning led to the conclusion that elective caesarean section should be performed in order to avoid emergency airway management. Based on this literature review, we advise antena...Continue Reading

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Citations

Mar 8, 2020·Anaesthesia·B McGuire, D N Lucas
Mar 29, 2021·Resuscitation·Carsten LottUNKNOWN ERC Special Circumstances Writing Group Collaborators
May 25, 2021·International Anesthesiology Clinics·Mary C MushambiRadha Kunte
Jun 19, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J Adam LawUNKNOWN Canadian Airway Focus Group
Jun 16, 2021·Notfall & Rettungsmedizin·Carsten LottJasmeet Soar
Sep 16, 2021·The Journal of International Medical Research·Tingting ChenHu Cheng

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