Application of the laryngeal mask airway in cesarean section

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Abstract

Spinal anesthesia is considered the standard anesthetic technique for elective cesarean section, but it is contraindicated in some cases. General anesthesia in pregnant women is associated with a significant increase in frequency of complications, primarily related to airway management. In this article, we propose to use a laryngeal mask airway as an alternative to endotracheal intubation during elective operative delivery, subject to certain conditions. We present two clinical cases of general combined anesthesia with the installation of a second-generation laryngeal mask airway and mechanical ventilation — in a patient with the Arnold-Chiari type I malformation and in a patient with IV grade scoliosis.

About the authors

Valery I. Shadenkov

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: ShadenkovV@gmail.com
ORCID iD: 0000-0002-0289-0428
SPIN-code: 4960-3296

Resident Doctor. The Anesthesiology and Resuscitation Department

Russian Federation, Saint-Petersburg

Yury M. Korostelyov

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; Academician I.P. Pavlov First St. Petersburg State Medical University

Email: juko_71@mail.ru
SPIN-code: 4902-6513

MD, PhD, Senior Researcher. The Anesthesiology and Resuscitation Department; Associate Professor, Researcher. The Department of Anesthesiology and Resuscitation

Russian Federation, Saint-Petersburg

Irina V. Vartanova

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; Academician I.P. Pavlov First St. Petersburg State Medical University

Email: ivartanova@mail.ru
ORCID iD: 0000-0002-9949-5781
SPIN-code: 8414-0912

MD, PhD. The Anesthesiology and Resuscitation Department; Associate Professor. The Department of Anesthesiology and Resuscitation

Russian Federation, Saint-Petersburg

Dmitry M. Shirokov

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; Academician I.P. Pavlov First St. Petersburg State Medical University; Military Medical Academy named after S.M. Kirov

Author for correspondence.
Email: dm_shirokov@interzet.ru
ORCID iD: 0000-0001-6080-3348

MD, PhD, the Head of the Anesthesiology and Resuscitation Department; Associate Professor. The Department of Anesthesiology and Resuscitation; Assistant. The Department of Anesthesiology and Resuscitation

Russian Federation, Saint-Petersburg

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2. Fig. 1. Ultrasound regurgitation and aspiration risk assessment algorithm

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3. Fig. 2. Radiographs of the thoracic and lumbar spine of patient S. (performed in the direct projection)

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Copyright (c) 2019 Shadenkov V.I., Korostelyov Y.M., Vartanova I.V., Shirokov D.M.

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