TY - JOUR
T1 - A retrospective study of the performance of video laryngoscopy in an obstetric unit
AU - Aziz, Michael F.
AU - Kim, Diana
AU - Mako, Jeffrey
AU - Hand, Karen
AU - Brambrink, Ansgar M.
PY - 2012/10
Y1 - 2012/10
N2 - We evaluated the performance of tracheal intubation using video laryngoscopy in an obstetric unit. We analyzed airway management details during a 3-year period, and observed 180 intubations. All cases were managed with direct or video laryngoscopy. Direct laryngoscopy resulted in 157 out of 163 (95% confidence interval [CI], 92%-99%) first attempt successful intubations and failed once. Video laryngoscopy resulted in 18 of 18 (95% CI, 81%-100%) successful intubations on first attempt. The failed direct laryngoscopy was rescued with video laryngoscopy. The patients managed with video laryngoscopy frequently required urgent or emergency surgery and had predictors of difficult direct laryngoscopy in 16 of 18 cases. Video laryngoscopy may be a useful adjunct for obstetric airway management, and its role in this difficult airway scenario should be further studied.
AB - We evaluated the performance of tracheal intubation using video laryngoscopy in an obstetric unit. We analyzed airway management details during a 3-year period, and observed 180 intubations. All cases were managed with direct or video laryngoscopy. Direct laryngoscopy resulted in 157 out of 163 (95% confidence interval [CI], 92%-99%) first attempt successful intubations and failed once. Video laryngoscopy resulted in 18 of 18 (95% CI, 81%-100%) successful intubations on first attempt. The failed direct laryngoscopy was rescued with video laryngoscopy. The patients managed with video laryngoscopy frequently required urgent or emergency surgery and had predictors of difficult direct laryngoscopy in 16 of 18 cases. Video laryngoscopy may be a useful adjunct for obstetric airway management, and its role in this difficult airway scenario should be further studied.
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U2 - 10.1213/ANE.0b013e3182642130
DO - 10.1213/ANE.0b013e3182642130
M3 - Article
C2 - 22763902
AN - SCOPUS:84866927958
SN - 0003-2999
VL - 115
SP - 904
EP - 906
JO - Anesthesia and analgesia
JF - Anesthesia and analgesia
IS - 4
ER -