Rapid-Sequence Intubation in the Left-Lateral Tilt Position in a Pregnant XXXX with Premature Placental Abruption Utilizing a Videolaryngoscope.

@entity1 @entity8404 @entity5869 @entity909 @entity4490 @entity2898
Case   A 24-year-old pregnant @entity1 was admitted to our hospital with decreased fetal heart rate. Obstetric examination revealed @entity5869 ; emergent caesarean section was planned under general anesthesia. On entering the operating room, the @entity1 showed severe vital sign deterioration (blood pressure, 75/45   mm Hg; heart rate, 142 beats per minute). As left uterine displacement may worsen the @entity5869 , the @entity1 was placed in the left-lateral tilt position by rotating the operating table to release compression on the inferior vena cava by theuterus. To avoid circulatory collapse, rapid-sequence intubation was performed in this position. Tracheal intubation was performed with the Pentax- @entity8404 Airwayscope ( @entity8404 videolaryngoscope, @entity8404 ; HOYA, Japan) to obtain a good laryngeal view and minimize stress from laryngoscopy. After sufficient oxygenation, 120   mg of @entity4490 was administered. A second anesthesiologist performed cricoid pressure and 50   mg of @entity2898 was administered after confirming @entity909 . This was followed by insertion of the @entity8404 with a thin intlock into the mouth. Tracheal intubation was performed uneventfully. Discussion   Rapid-sequence intubation in the left-lateral tilted position with the @entity8404 videolaryngoscope may be beneficial for pregnant @entity1 with vital sign deterioration.
