A Case Report of a Rescue of Unanticipated Obstetric Difficult Airway Secondary to Limited Mouth Opening With i-gel® and Establishing Definitive Airway With Aintree and Fiberscope-Guided Intubation.

Q3 Medicine

AANA journal Pub Date : 2024-12-01

Amy I Lee, Jaime Ortiz, Maya S Suresh

引用次数: 0

Abstract

Obstetric difficult airway management has emerged as a critical safety issue, and unsuccessful intubation can lead to morbidity and mortality. A literature review of difficult and failed obstetric intubations from the 1970s to 2015 shows that the incidence of failed intubation is unchanged, remaining at one per 390 anesthetics. Our obstetric case report highlights an obstetric difficult airway secondary to limited mouth opening; rescue of the airway with an i-gel®; and establishment of a definitive airway with the aid of an Aintree intubation catheter and flexible fiberoptic scope-guided intubation through the i-gel®, a second-generation supraglottic airway.

本刊更多论文

用 i-gel® 抢救因张口受限而导致的产科困难气道，并用 Aintree 和纤维镜引导插管建立最终气道的病例报告。

产科困难气道管理已成为一个重要的安全问题，不成功的插管可导致发病率和死亡率。对 20 世纪 70 年代至 2015 年产科插管困难和插管失败的文献回顾显示，插管失败的发生率保持不变，仍为每 390 例麻醉中发生 1 例。我们的产科病例报告重点介绍了因张口受限而导致的产科困难气道；使用 i-gel® 抢救气道；借助 Aintree 插管导管和柔性光纤镜引导下通过 i-gel®（第二代声门上气道）插管建立最终气道。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AANA journal Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

期刊介绍： Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.