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Difficult airway equipment in obstetric units in the Republic of Ireland: results of a national survey

Published online by Cambridge University Press:  28 January 2005

A. Niazi ,
F. Cummins  and
K. Walsh
A. Niazi
Affiliation:
Beaumont Hospital, Department of Anaesthesia, Beaumont, Dublin, Ireland
F. Cummins
Affiliation:
Cork University Hospital, Department of Emergency Medicine, Wilton, Cork, Ireland
K. Walsh
Affiliation:
Cork University Hospital, Department of Anaesthesia, Wilton, Cork, Ireland
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Abstract

Summary

Background and objective: Difficult intubation in obstetric units has been identified as a major contributory factor to anaesthesia related maternal morbidity and mortality. Availability of equipment for management of a difficult airway is associated with reduced maternal complications. The purpose of our survey was to describe the availability of difficult airway equipment in Irish Obstetric Units.

Methods: A telephone survey was conducted in which all respondents were asked whether they housed basic airway equipment, alternative ventilation and alternative intubation equipment within or close to their obstetric unit.

Results: The most important finding of this study is that all the obstetric units in Ireland hold at least one alternative device for both ventilation and intubation. The most common alternative ventilation device was the laryngeal mask airway and the most common alternative intubating device was the surgical airway device.

Conclusions: Irish Obstetric Units are well equipped according to the international guidelines for difficult intubation equipment. However, we believe that this situation could be further improved by training inexperienced anaesthetists in the use of the Intubating Laryngeal Mask and by the increased use of portable trolleys.

Keywords

ANAESTHESIA, obstetricVENTILATION, artificialINTUBATION, tracheal, difficultEQUIPMENT, airway
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 21 , Issue 11 , November 2004 , pp. 861 - 863
Copyright
2004 European Society of Anaesthesiology

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References

Rose DK, Cohen MM. The airway: problems and predictions in 18 500 patients. Can J Anaesth 1994;41: 372–383.Google Scholar
Rocke DA, Murray WB, Rout CC, et al. Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology 1992; 77: 67–73.Google Scholar
Hawkins JL, Koonin LM, Palmer SK, Gibbs CP. Anesthesia-related deaths during obstetric delivery in the United States, 1979–1990. Anesthesiology 1997; 86: 277–284.Google Scholar
Department of Health. Report on Confidential Enquiries into Maternal Deaths in England and Wales 1988–1990.London: HMSO, 1994.
Sinclair M, Simmons S, Cyna A. Incidents in obstetric anaesthesia and analgesia: an analysis of 5000 AIMS reports. Anaesth Intensive Care 1999; 27: 275–281.Google Scholar
Chadwick HS, Posner K, Caplan RA, Ward RJ, Cheney FW. A comparison of obstetric and non obstetric anesthesia malpractice claims. Anesthesiology 1991; 74: 242–249.Google Scholar
Ross BK. ASA closed claims in obstetrics: lessons learned. Anesthesiol Clin N Am 2003; 21: 183–197.Google Scholar
Endler GC, Mariona FG, Sokol RJ, et al. Anesthesia-related maternal mortality in Michigan, 1972 to 1984. Am J Obstet Gynecol 1988; 159: 187–193.Google Scholar
American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: a report. Anesthesiology 1991; 75: 1087.
Stamer UM, Messerschmidt A, Wulf H, Hoeft A. Equipment for the difficult airway in obstetric units in Germany. J Clin Anesth 2000; 12: 151–156.Google Scholar
Samsoon GLT, Young JRB. Difficult tracheal intubation: a retrospective study. Anaesthesia 1987; 42: 487–490.Google Scholar
Hawthorne L, Wilson R, Lyons G, Dresner M. Failed intubation revisited: 17-yr experience in a teaching maternity unit. Br J Anaesth 1996; 76: 680–684.Google Scholar
de Nolan J, Robertson Latorre FC, Chamberlain D, Baskett P. European Resuscitation Guidelines 2000 for Adult Advanced Life Support. A statement from the Advanced Life Support Working Group (1) and approved by the Executive Committee of the European Resuscitation Council. Resuscitation 2001; 48: 211–221.Google Scholar
Han Hyung H, Brimacombe J, Eun-Ju L, Hong Seuk Y. The laryngeal mask airway is effective (and probably safe) in selected healthy parturients for elective cesarean sections: a prospective study of 1067 cases. Can J Anaesth 2001; 48: 1117–1121.Google Scholar
Dorges V, Wenzel V, Neubert E, Schmucker P. Emergency airway management by intensive care unit nurses with the intubating laryngeal mask airway and the laryngeal tube. Crit Care 2000; 4: 369–376.Google Scholar
Baskett PJF, Parr MJA, Nolan JP. The intubating laryngeal mask. Results of a multicentre trial with experience in 500 cases. Anaesthesia 1998; 53: 1174–1179.Google Scholar
Langeron O, Semjen F, Bourgain JF, Marsac A, Cros AM. Comparison of the Intubating Laryngeal Mask Airway with Fibreoptic intubation in anticipated difficult airway management. Anesthesiology 2001; 94: 968–972.Google Scholar
McGuire GP, Wong DT. Airway management: contents of a difficult intubation cart. Can J Anaesth 1999; 46: 190–191.Google Scholar