International Journal of Obstetric Anesthesia
Volume 17, Issue 4 , Pages 292-297 , October 2008

Difficult and failed intubation in obstetric anaesthesia: an observational study of airway management and complications associated with general anaesthesia for caesarean section

  • N.J. McDonnell

      Affiliations

    • Corresponding Author InformationCorrespondence to: Nolan J. McDonnell, Specialist Anaesthetist, Department of Anaesthesia and Pain Medicine, King Edward Memorial Hospital for Women, 374 Bagot Rd., Subiaco, Western Australia 6008 Australia. Tel.: +61 411 298 631; fax: +61 8 93402260.
    • ,
  • M.J. Paech
    • ,
  • O.M. Clavisi
    • ,
  • K.L. Scott
    • ,
  • the ANZCA Trials Group

,Accepted 1 January 2008.

References 

  1. Stamer UM, Wiese R, Stuber F, Wulf H, Meuser T. Change in anaesthetic practice for Caesarean section in Germany. Acta Anaesthesiol Scand. 2005;49:170–176
  2. Jenkins JG, Khan MM. Anaesthesia for Caesarean section: a survey in a UK region from 1992 to 2002. Anaesthesia. 2003;58:1114–1118
  3. Shibli KU, Russell IF. A survey of anaesthetic techniques used for caesarean section in the UK in 1997. Int J Obstet Anesth. 2000;9:160–167
  4. Hawkins JL. Anesthesia-related maternal mortality. Clin Obstet Gynecol. 2003;46:679–687
  5. Enohumah KO, Imarengiaye CO. Factors associated with anaesthesia-related maternal mortality in a tertiary hospital in Nigeria. Acta Anaesthesiol Scand. 2006;50:206–210
  6. Mhyre JM RM, Grigorescu V. Anesthesia-related maternal mortality in Michigan: 1985-2003. Anaesthesiology 2006; 104 (Supp 1): A-19.
  7. Cooper GM, McClure JH. Maternal deaths from anaesthesia. An extract from Why Mothers Die 2000-2002, the Confidential Enquiries into Maternal Deaths in the United Kingdom: Chapter 9: Anaesthesia. Br J Anaesth. 2005;94:417–423
  8. Johnson RV, Lyons GR, Wilson RC, Robinson AP. Training in obstetric general anaesthesia: a vanishing art?. Anaesthesia. 2000;55:179–183
  9. Lewis GE. The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer-2003-2005. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. London: CEMACH; 2007.
  10. Lucas DN, Yentis SM, Kinsella SM, et al. Urgency of caesarean section: a new classification. J R Soc Med. 2000;93:346–350
  11. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia. 1984;39:1105–1111
  12. Barnardo PD, Jenkins JG. Failed tracheal intubation in obstetrics: a 6-year review in a UK region. Anaesthesia. 2000;55:690–694
  13. Rahman K, Jenkins JG. Failed tracheal intubation in obstetrics: no more frequent but still managed badly. Anaesthesia. 2005;60:168–171
  14. Tsen LC, Pitner R, Camann WR. General anesthesia for cesarean section at a tertiary care hospital 1990-1995: indications and implications. Int J Obstet Anesth. 1998;7:147–152
  15. Hawthorne L, Wilson R, Lyons G, Dresner M. Failed intubation revisited: 17-yr experience in a teaching maternity unit. Br J Anaesth. 1996;76:680–684
  16. Popham P, Buettner A, Mendola M. Anaesthesia for emergency caesarean section, 2000-2004, at the Royal Women’s Hospital, Melbourne. Anaesth Intensive Care. 2007;35:74–79
  17. Naguib M. Sugammadex: another milestone in clinical neuromuscular pharmacology. Anesth Analg. 2007;104:575–581
  18. Davies JM, Weeks S, Crone LA, Pavlin E. Difficult intubation in the parturient. Can J Anaesth. 1989;36:668–674
  19. Wong SH, Hung CT. Prevalence and prediction of difficult intubation in Chinese women. Anaesth Intensive Care. 1999;27:49–52
  20. Yeo SW, Chong JL, Thomas E. Difficult intubation: a prospective study. Singapore Med J. 1992;33:362–364
  21. Rocke DA, Murray WB, Rout CC, Gouws E. Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology. 1992;77:67–73
  22. Han TH, Brimacombe J, Lee EJ, Yang HS. The laryngeal mask airway is effective (and probably safe) in selected healthy parturients for elective Cesarean section: a prospective study of 1067 cases. Can J Anaesth. 2001;48:1117–1121
  23. Preston R. The evolving role of the laryngeal mask airway in obstetrics. Can J Anaesth. 2001;48:1061–1065
  24. O’ Sullivan GM, Guyton TS. Aspiration: risk, prophylaxis and treatment. In:  Chestnut David H editors. Obstetric Anaesthesia Principles and Practice. Philadelphia: Elsevier Mosby; 2004;p. 523–534
  25. Kan RK, Lew E, Yeo SW, Thomas E. General anesthesia for cesarean section in a Singapore maternity hospital: a retrospective survey. Int J Obstet Anesth. 2004;13:221–226
  26. Sweeney B, Wright I. The use of antacids as a prophylaxis against Mendelson’s syndrome in the United Kingdom. A survey. Anaesthesia. 1986;41:419–422
  27. Tordoff SG, Sweeney BP. Acid aspiration prophylaxis in 288 obstetric anaesthetic departments in the United Kingdom. Anaesthesia. 1990;45:776–780
  28. Benhamou D. French obstetric anaesthetists and acid aspiration prophylaxis. Eur J Anaesthesiol. 1993;10:27–32
  29. Greiff JM, Tordoff SG, Griffiths R, May AE. Acid aspiration prophylaxis in 202 obstetric anaesthetic units in the UK. Int J Obstet Anesth. 1994;3:137–142
  30. Kluger MT, Willemsen G. Anti-aspiration prophylaxis in New Zealand: a national survey. Anaesth Intensive Care. 1998;26:70–77
  31. Schneck H, Scheller M, Wagner R, von Hundelshausen B, Kochs E. Anesthesia for cesarean section and acid aspiration prophylaxis: a German survey. Anesth Analg. 1999;88:63–66
  32. Schneck H, Scheller M. Acid aspiration prophylaxis and caesarean section. Curr Opin Anaesthesiol. 2000;13:261–265

☆ This study was supported by a starting grant from the Australian and New Zealand College (ANZCA) Trials Group, followed by a 2006 project grant from ANZCA.

PII: S0959-289X(08)00051-4

doi: 10.1016/j.ijoa.2008.01.017

International Journal of Obstetric Anesthesia
Volume 17, Issue 4 , Pages 292-297 , October 2008

Article Tools

* Image Usage & Resolution