The Bullard Laryngoscope for Emergency Airway Management in a Morbidly Obese Parturient

Cohn, Aaron I.; Hart, R. L.; McGraw, Scott R.; Blass, Norman H.

doi:10.1213/00000539-199510000-00038

Cited by 6 publications

(8 citation statements)

References 10 publications

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“…in obese pregnant women undergoing cesarean section, spinal anesthesia remains the most used anesthetic technique 15 due to historical advantages in obstetrics. the association of obesity and pregnancy represents an even higher risk of difficult airways, making it oftentimes a worrisome emergency, since it is associated with slower gastric emptying 15,17,20 . the level of the spinal blockade in those patients when the single dose is used usually becomes more unpredictable and exaggerated than in a normal pregnant woman 15 .…”

Section: Discussionmentioning

confidence: 99%

Correlação entre o índice de massa corporal (IMC) de gestantes e hipotensão após raquianestesia para cesarianas

Nani¹,

Torres²

2011

Rev. Bras. Anestesiol.

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In the study sample, pregestational BMI ≥ 25 kg.m(-2) was a risk factor for hypotension after spinal anesthesia in patients undergoing cesarean section. The same group of patients required higher doses of vasopressors. Those results indicate that the anesthetic techniques in those patients should be improved to reduce the consequences of post-spinal anesthesia hypotension, both in pregnant women and fetuses.

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Section: Discussionmentioning

confidence: 99%

Correlação entre o índice de massa corporal (IMC) de gestantes e hipotensão após raquianestesia para cesarianas

Nani¹,

Torres²

2011

Rev. Bras. Anestesiol.

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“…Of the nonfl exible scopes, only the Bullard has been reported to have been used in an awake obstetric patient with a diffi cult airway [47]. Flexible fi beroptic intubation techniques are popular for the expected diffi cult airway, especially in the parturient.…”

Section: Awake Nonfi Beroptic Intubation Techniquesmentioning

confidence: 99%

Management of the difficult and failed airway in obstetric anesthesia

et al. 2008

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Difficulty with airway management in obstetric patients occurs infrequently and failure to secure an airway is rare. A failed airway may result in severe physical and emotional morbidity and possibly death to the mother and baby. Additionally, the family, along with the medical and nursing staff, may face emotional and financial trauma. With the increase in the number of cesarean sections performed under regional anesthesia, the experience and training in performing endotracheal intubations in obstetric anesthesia has decreased. This article reviews the management of the difficult and failed airway in obstetric anesthesia. Underpinning this important topic is the difference between the nonpregnant and pregnant state. Obstetric anatomy and physiology, endotracheal intubation in the obstetric patient, and modifications to the difficult airway algorithms required for obstetric patients will be discussed. We emphasize that decisions regarding airway management must consider the urgency of delivery of the baby. Finally, the need for specific equipment in the obstetric difficult and failed airway is discussed. Worldwide maternal mortality reflects the health of a nation. However, one could also claim that, particularly in Western countries, maternal mortality may reflect the health of the specialty of anesthesia.

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“…[37][38][39]67,68 Where the BL enables the clinician to "see around the corner," generally an excellent view of the glottis is obtained, even when direct laryngoscopy has failed. [37][38][39]67,68 Where the BL enables the clinician to "see around the corner," generally an excellent view of the glottis is obtained, even when direct laryngoscopy has failed.…”

Section: Clinical Experiencementioning

confidence: 99%

“…[37][38][39]67,68 Where the BL enables the clinician to "see around the corner," generally an excellent view of the glottis is obtained, even when direct laryngoscopy has failed. 36,37,148 Most studies have found BL use to be unaffected by cricoid pressure application, in contrast to the flexible FOB. 42 When compared with the flexible FOB in both awake and anesthetized patients, the BL has been found to require less time to obtain a view and achieve intubation than the flexible FOB, with an equal success rate even with manual in-line neck stabilization.…”

Section: Clinical Experiencementioning

confidence: 99%