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Difficult tracheal intubation in obstetrics
Abstract
Summary: Difficult intubation has been classified into four grades, according to the view obtainable at laryngoscopy. Frequency analysis suggests that, in obstetrics, the main cause of trouble is grade 3, in which the epiglottis can be seen, but not the cords. This group is fairly rare so that a proportion of anaesthetists will not meet the problem in their first few years and may thus be unprepared for it in obstetrics. However the problem can be simulated in routine anaesthesia, so that a drill for managing it can be practised. Laryngoscopy is carried out as usual, then the blade is lowered so that the epiglottis descends and hides the cords. Intubation has to be done blind, using the Macintosh method. This can be helpful as part of the training before starting in the maternity department, supplementing the Aberdeen drill.
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Citations
Cited by
Prediction of Difficult Mask Ventilation
Langeron, O., Masso, E., Huraux, C., Guggiari, M., Bianchi, A., Coriat, P., & Riou, B. (2000) · Anesthesiology · doi:10.1097/00000542-200005000-00009 · Cited by 915
The unanticipated difficult airway with recommendations for management
Crosby, E. T., Cooper, R. M., Douglas, M. J., Doyle, D. J., Hung, O. R., Labrecque, P., Muir, H., Murphy, M. F., Preston, R. P., Rose, D. K., et al. (1998) · Canadian Journal of Anaesthesia · doi:10.1007/bf03012147 · Cited by 615
Arné, J., Descoins, P., Fusciardi, J., Ingrand, P., Ferrier, B., Boudigues, D., & Ariès, J. (1998) · British Journal of Anaesthesia · doi:10.1093/bja/80.2.140 · Cited by 401
Evaluation of an improved scoring system for the grading of direct laryngoscopy
Yentis, S. M., & Lee, D. J. H. (1998) · Anaesthesia · doi:10.1046/j.1365-2044.1998.00605.x · Cited by 369
The GlideScope® Video Laryngoscope: randomized clinical trial in 200 patients
Sun, D. A., Warriner, C. B., Parsons, D. G., Klein, R., Umedaly, H. S., & Moult, M. (2005) · British Journal of Anaesthesia · doi:10.1093/bja/aei041 · Cited by 359
Metadata
- Authors
- CORMACK, R. S., & LEHANE, J.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 1984-11
- Volume
- 39
- Issue
- 11
- Pages
- 1105-1111
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W2100858040
- Cited by
- 2,471
- References
- 0
- FWCI
- 9.21
- Type
- journal article
- Language
- en
- Open access
- closed
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- CORMACK, R. S., & LEHANE, J. (1984). Difficult tracheal intubation in obstetrics. Anaesthesia. https://doi.org/10.1111/j.1365-2044.1984.tb08932.x
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
