‘Cannot Intubate and Cannot Ventilate’- Emergency Tracheostomy in a Case of Eclampsia , as a Life Saving Procedure (original) (raw)

INTRODUCTION: Tracheostomy is one of the oldest surgical procedures one in order to treat acute upper airway obstruction, acute / Chronic respiratory failure or require continuous and intermittent respiratory support. It involves opening front wall of trachea to establish breathing and save endangered life. There have been very few cases with Tracheostomy done in hypertensive mothers. CASE: A 27 year old female Pregnant woman, 4th gravida came to our department with 3 episodes of Convulsions, in drowsy state. Patient was induced with catheter cerviprime gel induction in view of antepartum eclampsia. Patient was later shifted for Emergency LSCS in view of Antepartum Eclampsia with DIC. She delivered a male child , 2.4 kg, with normal APGAR scores at first and fifth minute. Post-operatively during monitoring patient went into Post partum haemorrhage , patient was taken for Emergency Exploratory Laparotomy SOS Obstetric Hysterectomy. Post operative recovery was uneventful. CONCLUSION: Aim of this case report involves Eclamptic mother taken for Emergency LSCS, during Anaesthesia-due to difficult intubation, patient could neither be intubated nor ventilated and hence Emergency Tracheostomy was performed. Master algorithm-Obstetric General Anaesthesia and Failed Tracheal Intubation.