Failed Intubation and Mask Ventilation in an Emergency Cesarean Section

”There was no chest rise, no ETCO₂, and the oxygen saturation was plummeting into the 50’s; the patient was clearly gray in color.”

Case Context     Provider Narrative    Lessons Learned

Case Context

Patient: young adult, pregnant female
Presenting diagnosis: full-term pregnancy, primigravida, pregnancy induced hypertension
Planned procedure: labor induction
Past medical history: morbid obesity
Other pertinent information: no other remarkable surgical or medical history
Anesthetic plan: lumbar epidural analgesia, upon request