A retrospective study of the performance of video laryngoscopy in an obstetric unit

Michael F. Aziz, Diana Kim, Jeffrey Mako, Karen Hand, Ansgar M. Brambrink

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)904-906
Number of pages3
JournalAnesthesia and analgesia
Volume115
Issue number4
DOIs
StatePublished - Oct 1 2012

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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