Abstract

Introduction: The incidence of difficult intubation in the obstetric population is 1 in 250. [1] McDonnell NJ, Paech MJ, Clavsi OM, et al, the ANZCA Trails Group. Difficult and failed intubation in obstetric anaesthesia: an observational study of airway management and complications associated with general anaesthesia for caesarean section. Int J Obstet Aneth 2008;17:292-7. Google Scholar With the infrequent use of general anaesthesia, the anaesthetist must be prepared for potential difficulty. [2] Searle RD, Lyons G. Vanishing experience in training for obstetric general anaesthesia: an observational study. Int J Obstet Anesth 2008;17:233-7. Google Scholar This includes performing a detailed airway assessment prior to administering labour analgesia or anaesthesia. Previous departmental data found that 70% of patients undergo a comprehensive airway assessment. Recently the anaesthetic chart was modified to specifically indicate the presence or absence of a potentially difficult airway. We aimed to re-audit how comprehensive the initial airway assessment was, and whether potentially difficult airways were being highlighted.

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