Background. There is no consensus on the optimum management of failed tracheal intubation in emergency cesarean delivery\nperformed for fetal compromise. The decision making process on whether to wake the patient or continue anesthesia with a\nsupraglottic airway device is an under explored area. This survey explores perceptions and experiences of obstetric anesthetists\nmanaging failed intubation. Methods. Anesthetists attending the Group of Obstetric Anaesthetists London (GOAL) Meeting in\nApril 2014 were surveyed. Results. Ninety-three percent of anesthetists surveyed would not always wake the patient in the event of\nfailed intubation for emergency cesarean delivery performed for fetal compromise. The median (interquartile range) of perceived\nacceptability of continuing anesthesia with a well-fitting supraglottic airway device, assessed using a visual analogue scale (0ââ?¬â??100; 0\ncompletely unacceptable; 100 completely acceptable), was 90 [22.5]. Preoperative patient consent regarding the use of a supraglottic\nairway device for surgery in the event of failed intubation would affect the decision making of 40% of anaesthetists surveyed.\nConclusion.These results demonstrate that a significant body of anesthetists with a subspecialty interest in obstetric anesthesia in\nthe UK would not always wake up the patient and would continue with anesthesia and surgery with a supraglottic airway device in\nthis setting.
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