- Joined
- Dec 6, 2004
- Messages
- 195
- Reaction score
- 35
30 y/o 200lb Mallanpati #3 patient with high anxiety, fibromyalgia with multiple psych issues who has had a localized allergic reaction to lidocaine (says she had a raised red rash on arm from iv start with lidocaine). wants a general anesthetic for repeat c-section. (1st c-section was under general due to failed epidural- no anesthetic record available). Pt convinced to have spinal. No immediate reaction to lidocaine sq. 2 passes of spinal needle patient starts crying saying to stop she wants to be put to sleep. Pt converted to general anesthetic. Glidescope intubation showed edematous, friable airway. Glottis seen initially but difficulty passing ETT. Attempt x2 airway is now bloody and view is more difficult. She is easily maskable with an oral airway. Would you A) keep trying to intubate, B) wake patient up and tell her she's getting a spinal. C) wake patient up for an awake fiberoptic D) wake patient up and schedule for a different day when you are on vacation. E) place an LMA and proceed. F) Other