Two Lives to Save. Lucienne Lutfy-Clayton MD FACEP UMMS Baystate Health September 20, 2018

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1 Two Lives to Save Lucienne Lutfy-Clayton MD FACEP UMMS Baystate Health September 20, 2018

2 natepowers davidpwhelan

3

4 ApOx 94% ReOx

5 chelle

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7 chelle Alvimann hilarycl NG

8

9 NG chelle Alvimann hilarycl

10

11 quicksandala clarita

12 Up = Good Down = Bad

13 Propofol Etomidate Ketamine

14 Rocuronium Succinylcholine

15 chelle Alvimann quicksandala clarita

16 DL VL chelle Alvimann hilarycl

17 Kodali B, Chandrasekhar S, Bulich L, et al. Airway changes during labor and delivery. Anesthesia 2008;108: Russel R. Failed intubation in obstetrics: a self-fulfilling prophecy? International Journal of Obstetric Anesthesia 2007;16:1 3 Kodali B, Chandrasekhar S, Bulich L, et al. Airway changes during labor and delivery. Anesthesia 2008;108: Mushambi MC, Kinsella SM, Popat M et al. Obstetric Anaesthetists' Association and Difficult Airway Society guidelines for the management of difficult and failed tracheal intubation in obstetrics. Anaesthesia 2015;70: Smith KA, High K, Collins SP, et al. A preprocedural checklist improves the safety of emergency department intubation of trauma patients. Acad Emerg Med 2015;22: Mace HS, Paech MJ, McDonnell NJ. Obesity and obstetric anaesthesia. Anaesthesia and Intensive Care;2011;39: McKeen A, George DM, et al. Difficult and failed intubation: Incident rates and maternal obstetrical, and anesthetic predictors. Can J Anesth/J Can Anesth;2011;58: 514 Leong SM, Tiwari A, Chung F et al. Obstructive sleep apnea as a risk factor associated with difficult airway management - A narrative review. Journal of Clinical Anesthesia 2018;45:63-68 Nejdlova M, Johnson T. Anaesthesia for non-obstetric procedures during pregnancy. Continuing Education in Anaesthesia, Critical Care & Pain 2012;12(4): Lapinsky,Stephen E. Management of Acute Respiratory Failure in Pregnancy. Semin Respir Crit Care Med 2017;38:02: Sakles J, Chiu S, Mosier J et al. The Importance of First Pass Success When Performing Orotracheal Intubation in the Emergency Department. Academic Emergency Medicine 2013; 20(1):71-78 Upadya M, Sannesh PJ. Anaesthesia for non-obstetric surgery during pregnancy. Indian J Anaesthesia 2016;60(4): Weingart SD, Levitan RM. Preoxygenation and Prevention of Desaturation During Emergency Airway Management. Annals of Emergency Medicine 2012;59(3): McClelland SH, Bogod DG, Hardman JG. Pre-oxygenation and apnoea in pregnancy: changes during labour with obstetric morbidity in a computational simulation. Anaesthesia 2009;64: Battaloglu E, Porter K Management of pregnancy and obstetric complications in prehospital trauma care: faculty of prehospital care consensus guidelines Emerg Med J 2017;34: Awad N. Preventing the Burn: Safety of RSI Medications in Pregnancy. Emergency Medicine PharmD Mar 14, Retrieved Mar Brambrink AM, Evers AS, Avidan AS et al. Ketamine-induced Neuroapoptosis in the Fetal and Neonatal Rhesus Macaque Brain. Anesthesiology 2012;116(2): Devroe S, Van de Velde M, and Rexa S. General anesthesia for caesarean section Curr Opin Anesthesiol 2015, 28: Amidate Injection, USP Federal drug administration package insert. Retrieved August 5, 2018 from Propofol Injection, USP Federal drug administration package insert. Retrieved August 5, 2018 from Rasheed MA, Palaria U, Bhadani UK et al. Journal of Obstetric Anaesthesia and Critical Care 2012;2(2):86-91 Tang L, Li S, Huang S et al. Desaturation following rapid sequence induction using succinylcholine vs. rocuronium in overweight patients. Acta Anaesthesiologica Scandinavica 2011;55(2): Stourac P1, Adamus M, Seidlova D, et al. Low-Dose or High-Dose Rocuronium Reversed with Neostigmine or Sugammadex for Cesarean Delivery Anesthesia: A Randomized Controlled Noninferiority Trial of Time to Tracheal Intubation and Extubation. Anesth Analg 2016;122(5):

18 Jun, I.J. et al. Comparison of rocuronium-induced neuromuscular blockade in second trimester pregnant women and non-pregnant women. International Journal of Obstetric Anesthesia 2018;34:10-14 Petrini F, Di Giacinto I, Cataldo R, et al. Obesity Task Force for the SIAARTI Airway Management Study Group. Perioperative and periprocedural airway management and respiratory safety for the obese patient: 2016 SIAARTI Consensus. Minerva Anestesiol 2016;82: Bryant R. Post Intubation Sedation for Pregnant Patients. R.E.B.E.L. EM Aug 10, Retrieved Apr 13, 2018 from Celleno D, Capogna G, Emanuelli M et al. Which induction drug for cesarean section? A comparison of thiopental sodium, Propofol, and midazolam. Journal of Clinical Anesthesia 1993;5(4): Midazolam Injection, USP Federal drug administration package insert. Retrieved August 5, 2018 from Olutuye OA, Baker BW, Belfort MA et al. Food and Drug Administration warning on anesthesia and brain development: implications for obstetric and fetal surgery. American Journal of Obstetrics and Gynecology 2018: Laurent Zieleskiewicz A, Chantry G, Duclos A et al. Intensive care and pregnancy: epidemiology and general principles of management of obstetrics ICU patients during pregnancy. Anesth Crit Care Pain Med 2016;35:S51-57 Esmaoglu A, Ulgey A, Akin A et al. Comparison between dexmedetomidine and midazolam for sedation of eclampsia patients in the intensive care unit. Journal of Critical Care 2009;24(4): Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013;118(2): Kodali B, Chandrasekhar S, Bulich L, et al. Airway changes during labor and delivery. Anesthesiology 2008; 108(3): Rocke DA, Murray WB, Rout CC, Gouws E. Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology 1992;77:67 73 Bradley P, Chapman G, Crooke B, et al. Airway Assessment. Australian and New Zealand College of Anesthetists 2016:16 Boutonnet M, Faitot V, Katz A, et al. Mallampati class changes during pregnancy, labour, and after delivery: can these be predicted? British Journal of Anaesthesia 2010;104(1):67-70 Cook TM, Woodall N, Harper J et al. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. British Journal of Anaesthesia 2011; 106(5): Michailidou M, O Keeffe T, Mosier JM et al. A Comparison of Video Laryngoscopy to Direct Laryngoscopy for the Emergency Intubation of Trauma Patients.World J Surg 2015;39: 782 Hignett R, Fernando R, McGlennan A, et al. A randomized crossover study to determine the effect of a 30 head-up versus a supine position on the functional residual capacity of term parturients. Anesthesia and Analgesia 2011;113(5): Levitan RM, Everett WW, Ochroch EA. Limitations of difficult airway prediction in patients intubated in the emergency department. Ann Emerg Med. 2004;44: Alanoglu Z, Erkoc SK, Guclu CY, et al. Challenges of obstetric asnesthesia: Difficult laryngeal visualization. Acta Clin Croat 2016;55(1):68-72 Russell R. Failed intubation in obstetrics: A self-fulfilling prophecy? Int J Obstet Anesth. 2007;16:1 3 Pollard R, Wagner M, Grichnik K et al. Prevalence of difficult intubation and failed intubation in a diverse obstetric community-based population. Current Medical Research and Opinion 2017 DOI: / Aziz MF, Kim D, Mako J, Hand K, Brambrink AM. A retrospective study of the performance of video laryngoscopy in an obstetric unit. Anesth Analg 2012;115(4): Scott-Brown, S. et al. Video laryngoscopes and the obstetric airway. International Journal of Obstetric Anesthesia 2015:24: Priebe, H. Obstetric tracheal intubation guidelines and cricoid pressure. Anaesthesia 2016;71: Mushambi, M. C. Obstetric tracheal intubation guidelines and cricoid pressure a reply. Anaesthesia 2016;71: Lipman S, Cohen S, Einav S et al. The Society for Obstetric Anesthesia and Perinatology Consensus Statement on the Management of Cardiac Arrest in Pregnancy. Anesthesia and Analgesia 2014;118: Mrinalini B, Cooke, ME et al. Unanticipated Difficult Airway in Obstetrical Patients; Development of a New Algorithm for Formative Assessnent in High-fidelity Simulation. Anesthesiology 2012; 117(4):

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