Rate of difficult intubation during caesarean delivery: A single centre before/after standardised airway management implementation study
Authors' conclusion
Implementation of standardised airway management recommendations had no significant impact on difficult intubation rate, though adoption of all three recommendations was not universal.
Study context
- Population
- Caesarean delivery (CD) cases under general anaesthesia (GA) at a tertiary care center, January 2013–December 2022
- Participants
- 1,462 cases
- Exposure
- After vs before implementation of 3 airway recommendations
- Aftern = 540
- Beforen = 922reference
- Outcome
- Difficult intubation (composite:
- > 1 intubation attempt
- Rescue device
- SpO2 < 90%)
Methodological detailssingle-centre, tertiary care center
- Single-centre
- Tertiary care center
Main finding
As reported in the abstract
95% CI −0.03 to 0.05; P = 0.71
Observational data: associations, not effects.
Further findings
Association of recommendations with difficult intubation
- Recommendations not associated with decreased likelihood of difficult intubation in univariable and adjusted models
Adoption of recommendations
- Adoption of all 3 recommendations significantly more frequent post-implementation
Original publication
Rate of difficult intubation during caesarean delivery: A single centre before/after standardised airway management implementation study. Int J Obstet Anesth. Published 2 September 2024. doi:10.
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