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Background And Aims: An unanticipated difficult airway is one of the greatest challenges for anesthesiologists. Proper preoperative airway assessment is crucial to reducing complications. However, current screening tests based on anthropometric features are of uncertain benefit.

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Article Synopsis
  • Flexible fiberoptic intubation is considered the best method for managing challenging airway situations.
  • Reasons for failure in this technique can include issues with the patient, the equipment used, and the skill level of the operator.
  • In one specific case, fiberoptic intubation failed due to an equipment malfunction that occurred while continuous suction was being applied.
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Obstetric difficult airway management has emerged as a critical safety issue, and unsuccessful intubation can lead to morbidity and mortality. A literature review of difficult and failed obstetric intubations from the 1970s to 2015 shows that the incidence of failed intubation is unchanged, remaining at one per 390 anesthetics. Our obstetric case report highlights an obstetric difficult airway secondary to limited mouth opening; rescue of the airway with an i-gel®; and establishment of a definitive airway with the aid of an Aintree intubation catheter and flexible fiberoptic scope-guided intubation through the i-gel®, a second-generation supraglottic airway.

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