Managing Known Difficult Airways in Obstetric Patients Using a Flexible Bronchoscope and IRRIS: A Case-Illustrated Guide for Nonexpert Anesthesiologists, without Surgical Backup

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  • Kjartan E Hannig, Department of Pediatrics, Kolding Hospital, Kolding, Denmark
  • ,
  • Rasmus W Hauritz, Department of Pediatrics, Kolding Hospital, Kolding, Denmark
  • ,
  • Christian Jessen
  • Jan Herzog, Syddansk Universitet
  • ,
  • Anders M Grejs
  • Michael S Kristensen, Department of Anesthesiology, Randers, Centre of Head and Orthopedics, 1Copenhagen University Hospital, Copenhagen, Denmark. 2Aarhus University Hospital, Aarhus, Denmark. 3University of Copenhagen, Copenhagen, Denmark. 4Odense University Hospital, Odense, Denmark.

Pregnancy is associated with anatomical and physiological changes leading to potential difficult airway management. Some pregnant women have known difficult airways and cannot be intubated even with a hyperangulated videolaryngoscope. If neuraxial techniques are also impossible, awake tracheal intubation with a flexible bronchoscope may be one of the few available options to avoid more invasive techniques. The Infrared Red Intubation System (IRRIS) may help nonexpert anesthesiologists in such situations and may enhance the chance of successful intubation increasing safety for the mother and the fetus, especially in hospitals without the ear, nose, and throat surgical backup.

TidsskriftCase reports in anesthesiology
Sider (fra-til)6778805
StatusUdgivet - 2021

Bibliografisk note

Copyright © 2021 Kjartan E. Hannig et al.

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