Relevant recent publications
| Paranjothy S, Griffiths JD, Broughton HK, Gyte GM, Brown HC, Thomas J. (2014), Interventions at caesarean section for reducing the risk of aspiration pneumonitis. Cochrane Database of Systemic Reviews 2014 Feb 5(2): CD004943
Acute Aspiration. BMJ best practice Sept 2020 (including treatment algorithm)
Aspiration under anaesthesia: risk assessment and decision-making. Robinson M, Davidson A. BJA Education volume 14, issue 4, August 2014
Guidelines for the management of difficult and failed tracheal intubation in obstetrics 2015. Difficult Airway Society UK.
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| OAA webcast (in last 4 years) | |
| MBRRACE-UK | Saving Lives, Improving Mothers’ Care
Lessons learned to inform future maternity care
from the UK and Ireland Confidential Enquiries into
Maternal Deaths and Morbidity 2009-2012 Published Dec 2014
Lessons for anaesthesia (pg 65)
‘Anaesthetists should practise drills for peri-
operative airway crises’
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| National guidelines | National Institute for Heath and Care Excellence. Clinical Guideline [ CG190]: Intrapartum care for healthy women and babies, 2014 (Revised 2017). London: NICE: 2017. Section 1.7 Care in established labour: Controlling gastric acidity. |
Audit / QI suggestions
| With the recent withdrawal of ranitidine, guidelines will need updating.
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| Clinical guidelines | Oral intake and Obstetric Acid Aspiration Risk Reduction, example clinical guidelines (OAA clinical guideline section) |
| Audit.Qu suggestions | Raising the standards: RCoA Quality Improvement Compendium
7. Obstetric Practice
Page 250: Airway and intubation problems during obstetric general anaesthesia
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| FRCA questions | None found – but it is topical!
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Simulation suggestion
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