Airway management in obese patients: The need for lean strategies

被引：6
作者：
Godoroja, Daniela [1 ,2 ]
Sorbello, Massimiliano [3 ]
Margarson, Michael [4 ]
机构：
[1] Ponderas Acad Hosp Regina Maria, Dept Anaesthesia & Intens Care, Bucharest, Romania
[2] Univ Med & Pharm Carol Davila, Bucharest, Romania
[3] AOU Policlin Vittorio Emanuele, Anesthesia & Intens Care, Catania, Italy
[4] St Richards Hosp, Dept Anaesthesia & Intens Care, Chichester, W Sussex, England
来源：
TRENDS IN ANAESTHESIA AND CRITICAL CARE | 2019年 / 26-27卷
关键词：
Difficult airway; Obese; Obstructive sleep apnoea; Video laryngoscopy; LARYNGEAL MASK AIRWAY; END-EXPIRATORY PRESSURE; OBSTRUCTIVE SLEEP-APNEA; NATIONAL AUDIT PROJECT; DIFFICULT INTUBATION; MORBID-OBESITY; PERIOPERATIVE MANAGEMENT; PROLONGED LARYNGOSCOPY; CRICOTHYROID MEMBRANE; ULTRASOUND ASSESSMENT;
D O I：
10.1016/j.tacc.2019.04.003
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Airway management is often the major concern of anaesthetists when presented with a morbidly obese patient for general anaesthesia. All anaesthetists are encountering increasing numbers of these patients, presenting for all types of surgery. With the particular experience gained from bariatric surgery worldwide, there is now a greater evidence base to support and guide our practice. This review article aims to provide an update of the key points in safe airway management in the obese, with a focus on pre-operative airway assessment and intra-operative airway management. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码：30 / 37
页数：8
相关论文
共 75 条
[31]   Pathophysiology of Sleep Apnea [J].
Dempsey, Jerome A. ;
Veasey, Sigrid C. ;
Morgan, Barbara J. ;
O'Donnell, Christopher P. .
PHYSIOLOGICAL REVIEWS, 2010, 90 (01) :47-112
[32]   Preoxygenation is more effective in the 25° head-up position than in the supine position in severely obese patients -: A randomized controlled study [J].
Dixon, BJ ;
Dixon, JB ;
Carden, JR ;
Burn, AJ ;
Schachter, LM ;
Playfair, JM ;
Laurie, CP ;
O'Brien, PE .
ANESTHESIOLOGY, 2005, 102 (06) :1110-1115
[33]   Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults [J].
Frerk, C. ;
Mitchell, V. S. ;
McNarry, A. F. ;
Mendonca, C. ;
Bhagrath, R. ;
Patel, A. ;
O'Sullivan, E. P. ;
Woodall, N. M. ;
Ahmad, I. .
BRITISH JOURNAL OF ANAESTHESIA, 2015, 115 (06) :827-848
[34]   Positive end-expiratory pressure during induction of general anesthesia increases duration of nonhypoxic apnea in morbidly obese patients [J].
Gander, S ;
Frascarolo, P ;
Suter, M ;
Spahn, DR ;
Magnusson, L .
ANESTHESIA AND ANALGESIA, 2005, 100 (02) :580-584
[35]   The effect of mechanically-induced cricoid force on lower oesophageal sphincter pressure in anaesthetised patients [J].
Garrard, A ;
Campbell, AE ;
Turley, A ;
Hall, JE .
ANAESTHESIA, 2004, 59 (05) :435-439
[36]   More on ramped position and 25-degree head up positions [J].
Greenland, K. B. .
BRITISH JOURNAL OF ANAESTHESIA, 2016, 117 (05) :674-675
[37]   Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea [J].
Gross, Jeffrey B. ;
Apfelbaum, Jeffrey L. ;
Caplan, Robert A. ;
Connis, Richard T. ;
Cote, Charles J. ;
Nickinovich, David G. ;
Ward, Denham S. ;
Weaver, Edward M. ;
Ydens, Lawrence .
ANESTHESIOLOGY, 2014, 120 (02) :268-286
[38]   Continuous positive airway pressure/pressure support pre-oxygenation of morbidly obese patients [J].
Harbut, P. ;
Gozdzik, W. ;
Stjernfalt, E. ;
Marsk, R. ;
Hesselvik, J. F. .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2014, 58 (06) :675-680
[39]   Airway obstruction with cricoid pressure [J].
Hartsilver, EL ;
Vanner, RG .
ANAESTHESIA, 2000, 55 (03) :208-211
[40]   Apneic Oxygenation During Prolonged Laryngoscopy in Obese Patients: A Randomized, Controlled Trial of Buccal RAE Tube Oxygen Administration [J].
Heard, Andrew ;
Toner, Andrew J. ;
Evans, James R. ;
Palacios, Alberto M. Aranda ;
Lauer, Stefan .
ANESTHESIA AND ANALGESIA, 2017, 124 (04) :1162-1167
12345678