Laryngoscopies in the Obese: Predicting Problems and Optimizing Visualization

Hekiert, Adrianna M.; Mandel, Jeff E.; Mirza, Natasha

doi:10.1177/000348940711600416

Cited by 23 publications

(16 citation statements)

References 11 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, undue force during ETT insertion is not necessary because this is likely to result in injury. These provisions have been reiterated numerous times in almost every case report issued thus far; therefore, they should be reflected when using videolaryngoscopy for intubation …”

Section: Discussionmentioning

confidence: 99%

Review of videolaryngoscopy pharyngeal wall injuries

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Review of videolaryngoscopy pharyngeal wall injuries

et al. 2016

View full text Add to dashboard Cite

show abstract

“…20 Obesity as a predictor of the difficult airway has been well studied, and specific challenges are known to be inherent to intubation of obese patients. [21][22][23] Obese patients may have crowding and distortion of the oropharynx, limited neck extension, a higher incidence of comorbid conditions, and a lower tolerance for apnea and tissue hypoxia. 21,23,24 Holmberg et al 21 observed that class I/II obesity (body mass index Ͼ 30 kg/m 2 and Ͻ 40 kg/m 2 ) in patients was not associated with difficult intubation, whereas patients with body mass index Ͼ 40 kg/m 2 had higher rates of difficult intubation.…”

Section: Risk Factorsmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

View full text Add to dashboard Cite

Although endotracheal intubation is commonly performed in the hospital setting, it is not without risk. In this article, we review the impact of endotracheal intubation on airway injury by describing the acute and long-term sequelae of each of the most commonly injured anatomic sites along the respiratory tract, including the nasal cavity, oral cavity, oropharynx, larynx, and trachea. Injuries covered include nasoseptal injury, tongue injury, dental injury, mucosal lacerations, vocal cord immobility, and laryngotracheal stenosis, as well as tracheomalacia, tracheoinnominate, and tracheoesophageal fistulas. We discuss the proposed mechanisms of tissue damage that relate to each and present their most common clinical manifestations, along with their respective diagnostic and management options. This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined.

show abstract

“…However, the ability of airway parameters to predict laryngoscopy view and difficult intubation in the obese patient is questionable [10][11][12]. To evaluate and compare intubation difficulty in obese and non-obese patients, we performed a prospective, controlled study using IDS scores, intubation duration measurements, and lowest SaO 2 levels.…”

Section: Introductionmentioning

confidence: 99%