SDRP Journal of Anesthesia & Surgery

Difficult Intubation in the Obese Patient

Citation

Craig Troop, Difficult Intubation in the Obese Patient(2017)SDRP Journal Of Anesthesia & Surgery 2(1)

Abstract

The following scenario is a synopsis of the anesthesiologist’s worst nightmare: can’t intubate / can’t ventilate. This ongoing concern in anesthesiology is being revisited in light of the personal observation that as the prevalence of obesity increases, standard oral intubation is becoming more difficult. The following summary is based on an actual closed claim case.

References

  1. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics Anesthesia. 1984 Nov; 39(11):1105-11

  2. American Society of Bariatric Surgery. Rationale for the surgical treatment of morbid obesity. Accessed August 22, 2005

  3. Mallampati S. Clinical Assessment of the Airway. Anesthesiology 1995; 13:301-308

  4. Benumof JL. Airway Management: Principles and Practice. St. Louis: Mosby, 1996:126-142

  5. Khan ZH, Kashfi A, Ebrahimkhani E. A comparison of the upper lip bite test Anesthesia and Analgesia 2003 Feb;96(2):595-9 PMid:12538218

    View Article      PubMed/NCBI     

  6. Levitan RM, Ann Emerg Med. 2003 Mar;41(3):322-30 PMid:12605198

    View Article      PubMed/NCBI     

  7. Collins JS, Lemmens HJ, Brodsky JB, Brock-Utne JG, Levitan RM. Obesity Surgery 2004 Oct.14(9):1171-5 PMid:15527629

    View Article      PubMed/NCBI     

  8. Dixon BJ et al Pre-oxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients. Anesthesiology. 2005 Jun; 102(6):1110-5. PMid:15915022

    View Article      PubMed/NCBI     

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