British Journal of Anaesthesia, 2003, Vol. 91, No. 1 154-155
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia
Correspondence |
Management of failed intubation in a septic parturient
1 Illinois, USA 2 Nottingham, UK
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EditorI read with interest the case report by Hinchliffe and Norris1 describing the management of a failed intubation in a septic parturient. The two Letters to the Editor highlight some of the shortcomings of their approach.2 3 I share their concerns, and some more. The case is about unexpected failed intubation but very little information is provided about the physical findings and what contributed to this failed intubation. Obesity alone is not a good indicator of difficult intubation, although obesity associated with a short thick neck and limited neck extension is.4
The initial decision to proceed with general orotracheal anaesthesia was a sound one. However, as intubation