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

Kjartan E Hannig; Rasmus W Hauritz; Christian Jessen; Jan Herzog; Anders M Grejs; Michael S Kristensen

doi:10.1155/2021/6778805

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

Kjartan E Hannig, Rasmus W Hauritz, Christian Jessen, Jan Herzog, Anders M Grejs, Michael S Kristensen

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

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.

Original language	English
Article number	6778805
Journal	Case reports in anesthesiology
Volume	2021
Pages (from-to)	6778805
ISSN	2090-6382
DOIs	https://doi.org/10.1155/2021/6778805
Publication status	Published - 2021

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Hannig, K. E., Hauritz, R. W., Jessen, C., Herzog, J., Grejs, A. M., & Kristensen, M. S. (2021). Managing Known Difficult Airways in Obstetric Patients Using a Flexible Bronchoscope and IRRIS: A Case-Illustrated Guide for Nonexpert Anesthesiologists, without Surgical Backup. Case reports in anesthesiology, 2021, 6778805. Article 6778805. https://doi.org/10.1155/2021/6778805

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

abstract = "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.",

author = "Hannig, {Kjartan E} and Hauritz, {Rasmus W} and Christian Jessen and Jan Herzog and Grejs, {Anders M} and Kristensen, {Michael S}",

note = "Copyright {\textcopyright} 2021 Kjartan E. Hannig et al.",

year = "2021",

doi = "10.1155/2021/6778805",

language = "English",

volume = "2021",

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journal = "Case reports in anesthesiology",

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Managing Known Difficult Airways in Obstetric Patients Using a Flexible Bronchoscope and IRRIS: A Case-Illustrated Guide for Nonexpert Anesthesiologists, without Surgical Backup. / Hannig, Kjartan E; Hauritz, Rasmus W; Jessen, Christian et al.
In: Case reports in anesthesiology, Vol. 2021, 6778805, 2021, p. 6778805.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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T1 - Managing Known Difficult Airways in Obstetric Patients Using a Flexible Bronchoscope and IRRIS

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AU - Hauritz, Rasmus W

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AU - Herzog, Jan

AU - Grejs, Anders M

AU - Kristensen, Michael S

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AB - 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.

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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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