A retrospective analysis of airway management in obese patients at a teaching institution

Hagberg, Carin A.; Vogt-Harenkamp, Christiane; Kamal, Junaid

doi:10.1016/j.jclinane.2008.09.009

Cited by 24 publications

(15 citation statements)

References 34 publications

(56 reference statements)

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“…Limited neck movement is another problem in patients with scoliosis including the cervical vertebrae. [23] Due to the conditions related with alveolar ventilation/perfusion mismatch, patient oxygenation may fail.…”

Section: Definition Incidence Of the Difficult Airwaymentioning

confidence: 99%

Kyphoscoliosis and difficult airway management

Saraçoğlu¹

2015

FNG & Bilim Tıp Dergisi

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Kyphoscoliosis is generally idiopathic and female dominant disease and the prevalence can vary between 0.3-15.3%. Anesthesia for both adult and pediatric patients with scoliosis can present a variety of challenges, because of some other diseases accompany to scoliosis. One of challenges is airway management. Problems with airway management may be fatal for patients. Basic preparations should be ready for airway management in a situation of unanticipated difficult airway. Besides there should be more than one plan and practitioners. If a strategy fails one should quickly change to another approach. Appropriate equipment beginning from laryngoscopes to a cricothyroid puncture kit should be available regarding practitioner's experience on devices. Extubation of a patient with difficult airway is important as tracheal intubation. Low reintubation rates and patient comfort are the most important issues for the extubation of patients with difficult airway.Keywords: Anesthesia; difficult airway; kyphoscoliosis. Kifoskolyoz ve zor havayolu yönetimi ÖZKifoskolyoz genel olarak idiopatik ve kadın dominant bir hastalıktır ve prevalansı %0.3-15.3 arasında değişebilir. Eşlik eden bazı hastalıklar nedeniyle gerek erişkin gerekse de pediatrik skolyoz hastaları için anestezi birçok zorluklar içerebilmektedir. Zorluklardan biri havayolu yönetimidir. Havayolu yönetimiyle ilgili sorunlar hastalar için ölümcül olabilir. Beklenen yada beklenmeyen zor havayolu durumu için temel hazırlıklar hazır bulundurulmalıdır. Bununla birlikte birden fazla plan ve uygulayıcı olmalıdır. Eğer bir stratejide başarısızlık olursa hızlıca diğer yaklaşıma geçilebilmelidir. Uygulayıcının aygıtlar üzerindeki deneyimine göre laringoskoplardan krikoidotomi kitine kadar uygun ekipman bulundurulmalıdır. Bir zor havayolu hastasının ekstübasyonu trakeal entübasyon kadar önemlidir. Düşük reentübasyon oranları ve hasta konforu zor havayoluna sahip hastaların ekstübasyonu için en önemli konulardandır.

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Section: Definition Incidence Of the Difficult Airwaymentioning

confidence: 99%

Kyphoscoliosis and difficult airway management

Saraçoğlu¹

2015

FNG & Bilim Tıp Dergisi

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“…Studies using more objective scoring such as the Intubation Difficulty Scale support the increased likelihood of difficult airway (especially tracheal intubation) in the obese. 25,26 Android-type (central) fat distribution has stronger association with difficult airway than increasing BMI. 8…”

Section: Pharmacology For Optimal Airway Conditionsmentioning

confidence: 99%

Airway Management in Patients With Morbid Obesity

Wadhwa

Singh

Sinha

2013

International Anesthesiology Clinics

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“…In obese patients with unfavorable airways, awake fiberoptic intubations are sometimes performed to maintain spontaneous respiration and airway reflexes, until a secure airway is attained [1]. Obese patients may be sensitive to the effects of sedation [2].…”

Section: Introductionmentioning

confidence: 99%

“…Obese patients may be sensitive to the effects of sedation [2]. Rapid oxygen desaturation may occur as a result of brief moments of apnea from even minimal amounts of sedating medications, due to poor baseline functional reserve as well as common comorbid conditions such as obstructive sleep apnea (OSA) and obesity hypoventilation syndrome [1,2]. To maximize the chance of success when performing an awake fiberoptic intubation in a minimally sedated patient, the upper airway should be sufficiently anesthetized [3,4].…”

Section: Introductionmentioning

confidence: 99%