• Int J Obstet Anesth · Feb 2023

    Case Reports

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

    • J S Hill and E Robinson.
    • National Womens Health, Auckland City Hospital, Auckland, New Zealand. Electronic address: jackh@adhb.govt.nz.
    • Int J Obstet Anesth. 2023 Feb 1; 53: 103611103611.

    AbstractThe 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.Copyright © 2022 Elsevier Ltd. All rights reserved.

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