Palmo Anest

Difficult Airway
Recently we received a distress call from a private maternity centre for help.

A young lady going for elective LSCS for a so called big baby. After induction of anaesthesia, she was not intubatable, some problem of ventilation too, SpO2 remained about 80% while they tried repeatedly for almost an hour, manually ventilate the patient.

Our team, an anaesthetist, an anaest MO and an O&G MO went with ambulance to transfer the patient to our setting.

Our team reversed the patient and keep her on spontaneous breathing with high flow O2, SpO2 was only about 92% along the transfer process.

Emergency trasheostomy under local anaesthesia was performed. However the patient was already aspirated and developed ARDS few days later.

In the mean time, the baby was delivered with vaccume extraction later. The little one was ventilated for a few days ad later succesfully extubated and still under paediatrician's care.

She was later transfer to state ICU where there is an Intensivist and the other subspeciality. I heard that she is weaning off trachy now.

posted by LT @ 1:23 PM