Dispositivo útil para intubação traqueal no paciente obeso mórbido

Simoni, Ricardo Francisco

doi:10.1590/s0034-70942005000200013

Cited by 3 publications

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Controle perioperatório de gestante obesa mórbida submetida a parto cesariano sob anestesia geral – relato de caso

Benevides

Brandão

Lovera

2016

Brazilian Journal of Anesthesiology

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Pregnant woman in labor, 35 years of age, body mass index 59.8 kg/m(2). Caesarean section was indicated due to the presumed fetal macrosomia. The patient refused spinal anesthesia. She was placed in the ramp position with cushions from back to head to facilitate tracheal intubation. Another cushion was placed on top of the right gluteus to create an angle of approximately 15° to the operating table. Immediately before induction of anesthesia, asepsis was carried out and sterile surgical fields were placed. Anesthesia was induced in rapid sequence, with Sellick maneuver and administration of remifentanil, propofol, and succinilcolina. Intubation was performed using a gum elastic bougie, and anesthesia was maintained with sevoflurane and remifentanil. The interval between skin incision and fetal extraction was 21 minutes, with the use of a Simpson's forceps scoop to assist in the extraction. The patient gave birth to a newborn weighing 4850 g, with Apgar scores of 2 in the 1(st) minute (received positive pressure ventilation by mask for about 2 minutes) and 8 in the 5(th) minute. The patient was extubated uneventfully. Multimodal analgesia and prophylaxis of nausea and vomiting was performed. Mother and newborn were discharged on the 4(th) postoperative day.

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Controle perioperatório de gestante obesa mórbida submetida a parto cesariano sob anestesia geral – relato de caso

Benevides

Brandão

Lovera

2016

Brazilian Journal of Anesthesiology

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Perioperative management of a morbidly obese pregnant patient undergoing cesarean section under general anesthesia – case report

Benevides

Brandão

Lovera

2016

Brazilian Journal of Anesthesiology (English Edition)

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Pregnant woman in labor, 35 years of age, body mass index 59.8kg/m(2). Cesarean section was indicated due to the presumed fetal macrosomia. The patient refused spinal anesthesia. She was placed in the ramp position with cushions from back to head to facilitate tracheal intubation. Another cushion was placed on top of the right gluteus to create an angle of approximately 15° to the operating table. Immediately before induction of anesthesia, asepsis was carried out and sterile surgical fields were placed. Anesthesia was induced in rapid sequence, with Sellick maneuver and administration of remifentanil, propofol, and succinilcolina. Intubation was performed using a gum elastic bougie, and anesthesia was maintained with sevoflurane and remifentanil. The interval between skin incision and fetal extraction was 21min, with the use of a Simpson's forceps scoop to assist in the extraction. The patient gave birth to a newborn weighing 4850g, with Apgar scores of 2 in the 1st minute (received positive pressure ventilation by mask for about 2min) and 8 in the 5th minute. The patient was extubated uneventfully. Multimodal analgesia and prophylaxis of nausea and vomiting was performed. Mother and newborn were discharged on the 4th postoperative day.

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O desafio do enfermeiro na assistência ao paciente obeso mórbido submetido à cirurgia bariátrica no período transoperatório.

Tanaka¹

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Dedico ao meu esposo, Vicente, pelo apoio, compreensão, e estímulo durante todo a trajetória, e ao meu único filho, Clayton, pela maturidade adquirida neste período de minha ausência. Saibam que vocês são a razão de todo meu empenho. Eu amo vocês. Agradeço A Deus sobre todas as coisas. Em particular A todas as pessoas que contribuíram direta ou indiretamente, para a realização deste trabalho, os mais sinceros agradecimentos. PALAVRAS-CHAVE: obesidade mórbida; cirurgia bariátrica; gastroplastia; cuidados de enfermagem perioperatório. Tanaka DS. The challenge of the nurse attending morbid obese patients submitted to bariatric surgery. [Dissertation]. São Paulo (SP):

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Dispositivo útil para intubação traqueal no paciente obeso mórbido

Cited by 3 publications

References 0 publications

Controle perioperatório de gestante obesa mórbida submetida a parto cesariano sob anestesia geral – relato de caso

Controle perioperatório de gestante obesa mórbida submetida a parto cesariano sob anestesia geral – relato de caso

Perioperative management of a morbidly obese pregnant patient undergoing cesarean section under general anesthesia – case report

O desafio do enfermeiro na assistência ao paciente obeso mórbido submetido à cirurgia bariátrica no período transoperatório.

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