The Difficult Airway: Risks, Prophylaxis, and Management

Thomas, John A.; Hagberg, Carin A.

doi:10.1016/b978-0-323-05541-3.00030-2

Cited by 5 publications

(2 citation statements)

References 201 publications

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“…While this scenario is feared in any circumstance, it is especially so in labor and delivery when there is not only 1 life at risk but 2 (or more, in the setting of multiple gestation). The estimated risk of failed intubation in the obstetric population varies from 1 in 244 to 1 in 1300, which is ∼8 times higher than that in the nonpregnant population 1 . Understandably, if modern tools and technology could help mitigate this risk, anesthesia providers would likely be keen to be trained in their use.…”

Section: Commentmentioning

confidence: 99%

Clinical and Ultrasonographic Assessment of Airway Indices Among Nonpregnant, Normotensive Pregnant, and Pre-eclamptic Patients: A Prospective Observational Study

Bala,

Budhwar,

Kumar

et al. 2024

Obstetric Anesthesia Digest

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(Int J Obstet Anesth. 2023:54:103637) Improper airway management is one of the leading causes of death for pregnant individuals. An ultrasound of the airway is a noninvasive tool that can be used to assess a patient’s airway and evaluate the risk of severe complications. This study aimed to compare the airways of pregnant and nonpregnant individuals using both a physical exam and an ultrasound exam.

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Section: Commentmentioning

confidence: 99%

Clinical and Ultrasonographic Assessment of Airway Indices Among Nonpregnant, Normotensive Pregnant, and Pre-eclamptic Patients: A Prospective Observational Study

Bala,

Budhwar,

Kumar

et al. 2024

Obstetric Anesthesia Digest

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“…Typical general anesthesia involves rapid-sequence induction and intubation with or without cricoid pressure. 27 If a general anesthetic is chosen to minimize aspiration risk, consider preoperative aspiration prophylaxis with an H2 antagonist (famotidine) and alkalinizing agent (sodium citrate), placement of an oral gastric tube intraoperative to suction gastric contents, and extubation while the patient is awake and responding to commands. 28…”

Section: Anesthetic Typesmentioning

confidence: 99%

Anesthetic Considerations for Second-Trimester Surgical Abortions

Ozery

Ansari

Kaur

et al. 2022

Anesthesia &Amp; Analgesia

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Although most abortion care takes place in the office setting, anesthesiologists are often asked to provide anesthesia for the 1% of abortions that take place later, in the second trimester. Changes in federal and state regulations surrounding abortion services may result in an increase in second-trimester abortions due to barriers to accessing care. The need for interstate travel will reduce access and delay care for everyone, given limited appointment capacity in states that continue to support bodily autonomy. Therefore, anesthesiologists may be increasingly involved in care for these patients. There are multiple, unique anesthetic considerations to provide safe and compassionate care to patients undergoing second-trimester abortion. First, a multiday cervical preparation involving cervical osmotic dilators and pharmacologic agents results in a time-sensitive, nonelective procedure, which should not be delayed or canceled due to risk of fetal expulsion in the preoperative area. In addition, a growing body of literature suggests that the older anesthesia dogma that all pregnant patients require rapid-sequence induction and an endotracheal tube can be abandoned, and that deep sedation without intubation is safe and often preferable for this patient population through 24 weeks of gestation. Finally, concomitant substance use disorders, preoperative pain from cervical preparation, and intraoperative management of uterine atony in a uterus that does not yet have mature oxytocin receptors require additional consideration.

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