How do you preoxygenate your patient?

Rassam, S.; Stacey, M.; Morris, Stephen

doi:10.1016/j.ijoa.2004.10.001

Cited by 13 publications

(11 citation statements)

References 4 publications

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“…The reason for this is unknown, although it does not appear to be due to abnormally rapid dispersal through the lax connective tissues. 7 In our patient, the analgesia provided by infiltration and the epidural was never entirely satisfactory, despite numerous top-ups with the 0.1% bupivacaine/fentanyl mixture. Whilst that may be partly explained by initial malpositioning or displacement of the catheter, even after resiting the catheter the patient still required supplemental analgesia.…”

mentioning

confidence: 54%

Epidural analgesia in a parturient with classic type Ehlers-Danlos syndrome

Glynn

Yentis

2005

International Journal of Obstetric Anesthesia

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mentioning

confidence: 54%

Epidural analgesia in a parturient with classic type Ehlers-Danlos syndrome

Glynn

Yentis

2005

International Journal of Obstetric Anesthesia

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“…2 Nevertheless, it does not release histamine and its administration is not accompanied by marked changes in blood pressure or heart rate. 7 In our patients neuromuscular blockade was induced with cisatracurium 0.1 mg/kg, about half of the suggested dose. Precise adjustment of the dose of muscle relaxant contributes to safer clinical use by avoiding excessively deep and unnecessarily prolonged neuromuscular blockade.…”

Section: In Replymentioning

confidence: 87%

“…Precise adjustment of the dose of muscle relaxant contributes to safer clinical use by avoiding excessively deep and unnecessarily prolonged neuromuscular blockade. 7 In addition, the mean onset time and clinical duration of cisatracurium are significantly shorter in immediate post-partum patients than in non-pregnant females. 8 Laudanosine is a metabolite of atracurium and cisatracurium.…”

Section: In Replymentioning

confidence: 96%

Propofol relieves post-extubation laryngospasm in obstetric anesthesia

Levy

2005

International Journal of Obstetric Anesthesia

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“…End-tidal oxygen fraction (F ET O 2 ) is the best marker of lung denitrogenation [66,67]; an F ET O 2 ≥ 0.9 is recommended [67,68]. Breath-by-breath oxygen monitoring can be used to monitor the process; this should be corroborated with a capnogram as erroneous values of F ET O 2 may be displayed because of apparatus deadspace and dilution from high fresh gas flows.…”

Section: Rapid Sequence Inductionmentioning

confidence: 99%

Obstetric Anaesthetists’ Association and Difficult Airway Society Guidelines for the Management of Difficult and Failed Tracheal Intubation in Obstetrics

Mushambi¹,

Kinsella²,

Popat³

et al. 2016

Obstetric Anesthesia Digest

113

221

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SummaryThe Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia. They comprise four algorithms and two tables. A master algorithm provides an overview. Algorithm 1 gives a framework on how to optimise a safe general anaesthetic technique in the obstetric patient, and emphasises: planning and multidisciplinary communication; how to prevent the rapid oxygen desaturation seen in pregnant women by advocating nasal oxygenation and mask ventilation immediately after induction; limiting intubation attempts to two; and consideration of early release of cricoid pressure if difficulties are encountered. Algorithm 2 summarises the management after declaring failed tracheal intubation with clear decision points, and encourages early insertion of a (preferably secondgeneration) supraglottic airway device if appropriate. Algorithm 3 covers the management of the 'can't intubate, can't oxygenate' situation and emergency front-of-neck airway access, including the necessity for timely perimortem caesarean section if maternal oxygenation cannot be achieved. Table 1 gives a structure for assessing the individual factors relevant in the decision to awaken or proceed should intubation fail, which include: urgency related to maternal or fetal factors; seniority of the anaesthetist; obesity of the patient; surgical complexity; aspiration risk; potential difficulty with provision of alternative anaesthesia; and post-induction airway device and airway patency. This decision should be considered by the team in advance of performing a general anaesthetic to make a provisional plan should failed intubation occur. The table is also intended to be used as a teaching tool to facilitate discussion and learning regarding the complex nature of decision-making when faced with a failed intubation. Table 2 gives practical considerations of how to awaken or proceed with surgery. The background paper covers recommendations on drugs, new equipment, teaching and training.

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How do you preoxygenate your patient?

Cited by 13 publications

References 4 publications

Epidural analgesia in a parturient with classic type Ehlers-Danlos syndrome

Epidural analgesia in a parturient with classic type Ehlers-Danlos syndrome

Propofol relieves post-extubation laryngospasm in obstetric anesthesia

Obstetric Anaesthetists’ Association and Difficult Airway Society Guidelines for the Management of Difficult and Failed Tracheal Intubation in Obstetrics

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