Airway Management of the Obstetric Patient
| Autor: | Shreya Patel, Ashutosh Wali |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Tracheal intubation Apnea 030208 emergency & critical care medicine respiratory system Rapid sequence induction medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology Anesthesiology medicine Intubation Airway management medicine.symptom Airway business Intensive care medicine Nasal cannula |
| Zdroj: | Current Anesthesiology Reports. 10:350-360 |
| ISSN: | 2167-6275 |
| DOI: | 10.1007/s40140-020-00422-5 |
| Popis: | The purpose of this article is to provide current evidence and review guidelines regarding obstetric airway management. Video laryngoscopy (VL) is gaining popularity in obstetric airway management as a primary technique and a rescue technique. Both humidified and high flow nasal cannula (HFNC) are being used for the obstetric difficult airway (DA). Continuing general anesthesia (GA) after successful supraglottic airway (SGA) placement requires awareness and proficiency with different SGAs and SGA-guided flexible bronchoscopic tracheal intubation (SGAFBI). Use of simulation during trainee education improves clinical performance and benefits management of obstetric DA. Difficult or failed airway during cesarean delivery under GA is higher due to pregnancy-related changes and the tense setting. All labor and delivery patients must undergo an airway evaluation. Pertinent resources, including equipment and personnel, must be readily available. Optimal positioning, preoxygenation, and apneic oxygenation help increase safe apnea time and lessen the rapid oxygen desaturation during rapid sequence induction and intubation. Tracheal extubation–related airway complications are the commonest cause of maternal morbidity/mortality following anesthesia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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