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Laryngeal Oedema as an Obstetric Anaesthesia Complication: Case Reports
Author(s) -
Jouppila R.,
Jouppila P.,
Hollmén A.
Publication year - 1980
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1980.tb01514.x
Subject(s) - medicine , intubation , endotracheal intubation , anesthesia , complication , general anaesthesia , surgery , laryngeal edema , pregnancy , airway , edema , biology , genetics
Three cases of laryngeal oedema leading to endotracheal intubation dificulties in obstetric anaesthesia are described. The first case occurred immediately postpartum in a patient who developed a swollen face from strenuous bearing down efforts in the second stage of labour. The other two cases were patients with severe pre‐eclampsia including marked generalized oedema. The possibility of the occurrence of laryngeal oedema with resultant endotracheal intubation dificulties in obstetrics should be remembered when endotracheal intubation is considered to avoid the hazard of acid aspiration. The authors prefer the use of regional anaesthetic techniques (if not contraindicated) in obstetrics, and emphasize the use of prophylactic methods to minimize the risk of acid aspiration in connection with general anaesthesia, particularly where endotracheal intubation may be diflicult.