Learning Zone: Acid aspiration risk reduction. Dr Eleanor Humphrey

Topic of the month Date
Acid aspiration risk reduction
October 2021
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.
OAA webcast (in last 4 years)
5th November 2019
http://www.oaawebcast.info/3dc-19-menu.html
password: firework
Dogmas in Obstetric Anaesthesia: The Balance between. Evidence, Common Sense, Habit and Fear- Dr Jose Carvalho.

6th November 2017
http://www.oaawebcast.info/monday-6th.html
password: bonfire
Nil by mouth in labour- Is it time to re-evaluate? - Dr Robert Gaiser
    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’

    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.

      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
      FRCA questions
      None found – but it is topical!
      Simulation suggestion
      labourpains-01

      Information for expectant
      parents and midwives’

      labourpains.com logo
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