The effect of class 3 obesity on the functionality of supraglottic airway devices: a historical cohort analysis with propensity score matching

Hartsuyker, Patrick; Kanczuk, Marcelo E.; Lawn, David; Beg, Salwa; Mengistu, Tesfaye S.; Hiskens, Matthew

doi:10.1007/s12630-023-02582-4

Can J Anesth/J Can Anesth

2023

DOI: 10.1007/s12630-023-02582-4

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The effect of class 3 obesity on the functionality of supraglottic airway devices: a historical cohort analysis with propensity score matching

Patrick Hartsuyker,

Marcelo E. Kanczuk,

David Lawn

et al.

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Cited by 2 publications

References 28 publications

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Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

Cukierman,

Guerra-Londoño,

Cata

2023

Curr Anesthesiol Rep

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Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

Cukierman,

Guerra-Londoño,

Cata

2023

Curr Anesthesiol Rep

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Obesity and anesthesia

Arora,

Sharma,

Carillo

2024

Current Opinion in Anaesthesiology

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Purpose of review Surgical procedures on obese patients are dramatically increasing worldwide over the past few years. In this review, we discuss the physiopathology of predominantly respiratory system in obese patients, the importance of preoperative evaluation, preoxygenation and intraoperative positive end expiratory pressure (PEEP) titration to prevent pulmonary complications and the optimization of airway management and oxygenation to reduce or prevent postoperative respiratory complications. Recent findings Many patients are coming to preoperative clinic with medication history of glucagon-like-peptide 1 agonists (GLP-1) agonists and it has raised many questions regarding Nil Per Os (NPO)/perioperative fasting guidelines due to delayed gastric emptying caused by these medications. American Society of Anesthesiologists (ASA) has come up with guiding document to help with such situations. Ambulatory surgery centers are doing more obesity cases in a safe manner which were deemed unsafe at one point. Quantitative train of four (TOF) monitoring, better neuromuscular reversal agents and gastric ultrasounds seemed to have made a significant impact in the care of obese patients in the perioperative period. Summary Obese patients are at higher risk of perioperative complications, mainly associated with those related to the respiratory function. An appropriate preoperative evaluation, intraoperative management, and postoperative support and monitoring is essential to improve outcome and increase the safety of the surgical procedure.

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The effect of class 3 obesity on the functionality of supraglottic airway devices: a historical cohort analysis with propensity score matching

Cited by 2 publications

References 28 publications

Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

Intraoperative Considerations for Rapid Recovery After Ambulatory Surgery: What’s New and What’s Controversial

Obesity and anesthesia

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