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Successful surgical cricothyroidotomy following an obstetric "can't oxygenate" scenario: a narrative of enabling

J S Hill1, E Robinson1

  • 1National Womens Health, Auckland City Hospital, Auckland, New Zealand.

International Journal of Obstetric Anesthesia
|November 17, 2022
PubMed

The airway management of a patient requiring emergency caesarean delivery for fetal distress and pre-eclampsia with severe features is described. A difficult obstetric airway was anticipated prior to induction and managed with the use of decision-support guidelines and cognitive aids. Failed tracheal intubation later progressed to a "can't oxygenate" scenario necessitating front-of-neck-access via surgical cricothyroidotomy. We discuss the factors which facilitated the preparation and implementation of interventions required to successfully execute this high-acuity task.

Keywords:
Difficult airwayPre-eclampsia, SevereSurgical cricothyroidotomy

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