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.
Published ahead of print July 4, 2012 Supplemental Digital Content is available in the text.
From the Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Portland, OR.
Funding: Internally funded.
Conflicts of Interest: See Disclosures at the end of the article.
Reprints will not be available from the authors.
This report was previously presented, in part, at the American Society of Anesthesiologists Annual Meeting Chicago, IL, October 2011.
Address correspondence to Michael Aziz, MD, Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Mail Code KPV 5, 3181 SW Sam Jackson Park Rd., Portland, OR 97239. Address e-mail to firstname.lastname@example.org.
Accepted May 15, 2012
Published ahead of print July 4, 2012