• J Clin Anesth · Jan 1988

    Review Case Reports

    The difficult airway in obstetric anesthesia: techniques for airway management and the role of regional anesthesia.

    • T P Malan and M D Johnson.
    • Department of Anesthesia, Brigham and Women's Hospital, Boston, MA 02115.
    • J Clin Anesth. 1988 Jan 1;1(2):104-11.

    AbstractA case is presented illustrating the use of a continuous spinal anesthetic in a parturient with a difficult airway who required urgent cesarean delivery. Options for endotracheal intubation of a parturient with a difficult airway are reviewed. The role of regional anesthesia in this setting is discussed. The most appropriate methods for intubation of the obstetric patient are direct laryngoscopy, the lighted stylet, and fiberoptic endoscopy. Available data suggest that regional anesthesia, specifically continuous spinal anesthesia, may be a safe and effective option for management of a parturient with a difficult airway. Further investigation of this technique is merited.

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