Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery
Background. There is no consensus on the optimum management of failed tracheal intubation in emergency cesarean delivery performed for fetal compromise. The decision making process on whether to wake the patient or continue anesthesia with a supraglottic airway device is an underexplored area. This...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/192315 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832567705149898752 |
|---|---|
| author | Daniel Soltanifar David Bogod Sally Harrison Brendan Carvalho Pervez Sultan |
| author_facet | Daniel Soltanifar David Bogod Sally Harrison Brendan Carvalho Pervez Sultan |
| author_sort | Daniel Soltanifar |
| collection | DOAJ |
| description | Background. There is no consensus on the optimum management of failed tracheal intubation in emergency cesarean delivery performed for fetal compromise. The decision making process on whether to wake the patient or continue anesthesia with a supraglottic airway device is an underexplored area. This survey explores perceptions and experiences of obstetric anesthetists managing failed intubation. Methods. Anesthetists attending the Group of Obstetric Anaesthetists London (GOAL) Meeting in April 2014 were surveyed. Results. Ninety-three percent of anesthetists surveyed would not always wake the patient in the event of failed intubation for emergency cesarean delivery performed for fetal compromise. The median (interquartile range) of perceived acceptability of continuing anesthesia with a well-fitting supraglottic airway device, assessed using a visual analogue scale (0–100; 0 completely unacceptable; 100 completely acceptable), was 90 [22.5]. Preoperative patient consent regarding the use of a supraglottic airway device for surgery in the event of failed intubation would affect the decision making of 40% of anaesthetists surveyed. Conclusion. These results demonstrate that a significant body of anesthetists with a subspecialty interest in obstetric anesthesia in the UK would not always wake up the patient and would continue with anesthesia and surgery with a supraglottic airway device in this setting. |
| format | Article |
| id | doaj-art-103dcc1f3eb44370929ace9a1c9142bb |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-103dcc1f3eb44370929ace9a1c9142bb2025-02-03T01:00:38ZengWileyAnesthesiology Research and Practice1687-69621687-69702015-01-01201510.1155/2015/192315192315Survey of Accepted Practice following Failed Intubation for Emergency Caesarean DeliveryDaniel Soltanifar0David Bogod1Sally Harrison2Brendan Carvalho3Pervez Sultan4Royal Free Hospital, Pond Street, London NW3 2QG, UKNottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UKRoyal Free Hospital, Pond Street, London NW3 2QG, UKStanford University School of Medicine, Stanford, CA 94305, USAUniversity College Hospital, 235 Euston Road, London NW1 2BU, UKBackground. There is no consensus on the optimum management of failed tracheal intubation in emergency cesarean delivery performed for fetal compromise. The decision making process on whether to wake the patient or continue anesthesia with a supraglottic airway device is an underexplored area. This survey explores perceptions and experiences of obstetric anesthetists managing failed intubation. Methods. Anesthetists attending the Group of Obstetric Anaesthetists London (GOAL) Meeting in April 2014 were surveyed. Results. Ninety-three percent of anesthetists surveyed would not always wake the patient in the event of failed intubation for emergency cesarean delivery performed for fetal compromise. The median (interquartile range) of perceived acceptability of continuing anesthesia with a well-fitting supraglottic airway device, assessed using a visual analogue scale (0–100; 0 completely unacceptable; 100 completely acceptable), was 90 [22.5]. Preoperative patient consent regarding the use of a supraglottic airway device for surgery in the event of failed intubation would affect the decision making of 40% of anaesthetists surveyed. Conclusion. These results demonstrate that a significant body of anesthetists with a subspecialty interest in obstetric anesthesia in the UK would not always wake up the patient and would continue with anesthesia and surgery with a supraglottic airway device in this setting.http://dx.doi.org/10.1155/2015/192315 |
| spellingShingle | Daniel Soltanifar David Bogod Sally Harrison Brendan Carvalho Pervez Sultan Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery Anesthesiology Research and Practice |
| title | Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery |
| title_full | Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery |
| title_fullStr | Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery |
| title_full_unstemmed | Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery |
| title_short | Survey of Accepted Practice following Failed Intubation for Emergency Caesarean Delivery |
| title_sort | survey of accepted practice following failed intubation for emergency caesarean delivery |
| url | http://dx.doi.org/10.1155/2015/192315 |
| work_keys_str_mv | AT danielsoltanifar surveyofacceptedpracticefollowingfailedintubationforemergencycaesareandelivery AT davidbogod surveyofacceptedpracticefollowingfailedintubationforemergencycaesareandelivery AT sallyharrison surveyofacceptedpracticefollowingfailedintubationforemergencycaesareandelivery AT brendancarvalho surveyofacceptedpracticefollowingfailedintubationforemergencycaesareandelivery AT pervezsultan surveyofacceptedpracticefollowingfailedintubationforemergencycaesareandelivery |