Failed intubation in obstetrics

Failed intubation in obstetric practice is rare, however it can have a devastating impact on the mother and fetus if not managed appropriately.Over the last 20 years there have been significant changes in anaesthetic management and training; in addition The European Working Time Directive has led to a reduction in junior doctors' hours. As a result, trainees now have less exposure to airway management, specifically endotracheal intubation.Acquiring skills in obstetric general anaesthesia is increasingly difficult as the majority of women will be suitable for regional anaesthesia.Training must be targeted at the differences between the airway in the non-pregnant and pregnant woman, and it is essential that all training opportunities in obstetric general anaesthesia should be taken. Use of simulation and animal models is an effective way of improving teamwork and confidence to deal with emergency situations such as failed intubation.