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Acta clinica Croatica, Vol. 55. No. Supplement 1, 2016.

Review article

https://doi.org/10.20471/acc.2016.55.s1.09

Challenges of Obstetric Anesthesia: Difficult Laryngeal Visualization

Zekeriyya Alanoğlu ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey
Süheyla Karadağ Erkoç ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey
Çiğdem Yıldırım Güçlü ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey
Başak Ceyda Orbey Meço ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey
Volkan Baytaş ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey
Özlem Selvi Can ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey
Neslihan Alkış ; Department of Anesthesiology and ICM, School of Medicine, University of Ankara, Ankara, Turkey

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Abstract

Obstetric anesthesia is one of the high risk subspecialties of anesthesia practice. Anesthesia related complications are the sixth leading cause of maternal mortality. Difficult or failed intubation following induction of general anesthesia for CS remains the major contributory factor to anesthesia-related maternal complications. The airway management of obstetric patients is a challenging issue for several reasons. Anatomic and physiologic changes related to pregnancy may increase the difficult and failed intubation rates compared to the general surgical population. Proper evaluation of the airway anatomy and airway structures is vital to prevent airway management related catastrophes. In addition to basic airway and intubation equipment, each anesthesia department must have difficult intubation equipment cart including fiber optic laryngoscope, video laryngoscopes, and different types of laryngeal masks. It is essential that all anesthesiologists have a preconceived and well thought-out algorithm and emergency airway equipment to deal with airway emergencies during difficult or failed intubation of a parturient.

Keywords

Anesthesia, General; Anesthesia, Obstetrical; Airway Management; Airway Obstruction; Intubation, Intratracheal

Hrčak ID:

154943

URI

https://hrcak.srce.hr/154943

Publication date:

1.3.2016.

Article data in other languages: croatian

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