Comparative effectiveness of the algorithms of actions of anesthetist in difficult intubation in obstetric anesthesiology
The base of the clinical material was 100 pregnant women who underwent cesarean section under general anesthesia with mechanical ventilation. In the control group (n=50) the medical care was provided according to the order of the Ministry of Health of Ukraine № 430 (03.07.2006). In the main group (n=50) the medical care for difficult tracheal intubation was done according to the offered algorithm. Taking into account the data of the integral index of predictive efficiency, the effectiveness of the offered algorithm for prediction of difficult intubation was excellent (AUC=0.84). The offered algorithm helped to reduce the incidence of respiratory complications to 1.0% (χ2=7.11, p=0.01) and the maternal mortality rate because of the failed intubation and ventilation from 5% to 0% (χ2=5.21, p=0.03).