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Unanticipated difficult airway cesarean delivery algorithm

Unanticipated difficult airway cesarean delivery algorithm
For further details refer to UpToDate topic on airway management of the pregnant patient at delivery.
SGA: supraglottic airway; FSI: flexible scope intubation.
* Change technique:
  • Optimize head position
  • Different laryngoscope blade
  • Alternate technique (eg, video laryngoscope, light wand, bougie)
  • More experienced clinician
¶ Repeated attempts at laryngoscopy may result in difficult mask ventilation.
Δ Consider SGA placement.
◊ Invasive airway techniques include surgical tracheotomy, cricothyrotomy, retrograde intubation, and transtracheal ventilation.
§ Examples of unstable maternal condition: maternal hemorrhage, cardiac arrest, amniotic fluid embolism.
¥ Refer to UpToDate content on anticipated difficult airway for cesarean delivery.
Graphic 107597 Version 4.0