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[Algorithms for oxygenation and difficult intubations in obstetrics].
- Source :
-
Revue medicale de la Suisse romande [Rev Med Suisse Romande] 1999 Nov; Vol. 119 (11), pp. 921-7. - Publication Year :
- 1999
-
Abstract
- The obstetrical population is prone to difficult or failed intubation. Control of the airway is complicated by several factors specific to obstetric anesthesia; time of apnea is short due to a reduced functional residual capacity, pregnancy-induced hypertension and obesity are relatively frequent; anesthetist's skill can also be mentioned. The best approach to this problem lies in its prevention, using epidural analgesia as soon as possible. Furthermore, the number of difficult intubations can be considerably reduced by a thorough pre-anesthetic examine. Each anesthetist must keep an algorithm in mind, should a difficult or failed intubation in obstetrical patient. Whichever method is used (ventilation through a facial mask or laryngeal mask, transtracheal oxygenation), the anesthetist must never forget that the first priority is always the safety of the mother.
- Subjects :
- Female
Functional Residual Capacity
Humans
Intubation, Intratracheal instrumentation
Oxygen Inhalation Therapy instrumentation
Pregnancy
Pregnancy Complications etiology
Pregnancy Complications physiopathology
Respiratory Insufficiency etiology
Respiratory Insufficiency physiopathology
Risk Factors
Time Factors
Algorithms
Decision Trees
Intubation, Intratracheal adverse effects
Intubation, Intratracheal methods
Obstetrics methods
Oxygen Inhalation Therapy methods
Pregnancy Complications therapy
Respiratory Insufficiency therapy
Subjects
Details
- Language :
- French
- ISSN :
- 0035-3655
- Volume :
- 119
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Revue medicale de la Suisse romande
- Publication Type :
- Academic Journal
- Accession number :
- 10628216