Successful surgical cricothyroidotomy following an obstetric "can't oxygenate" scenario: a narrative of enabling factors

 

J S Hill, E Robinson

 

Int J Obstet Anesth. 2023 Feb:53:103611.

 

Abstract

 

The airway management of a patient requiring emergency caesarean delivery for fetal distress and pre-eclampsia with severe features is described. A difficult obstetric airway was anticipated prior to induction and managed with the use of decision-support guidelines and cognitive aids. Failed tracheal intubation later progressed to a "can't oxygenate" scenario necessitating front-of-neck-access via surgical cricothyroidotomy. We discuss the factors which facilitated the preparation and implementation of interventions required to successfully execute this high-acuity task.