scholarly journals Fibreoptic Orotracheal Intubation of Obese Patients Using Parker Flex-Tip vs. Standard Endotracheal Tube

2019 ◽  
Vol 47 (5) ◽  
pp. 387-391
Author(s):  
Lee C. Chang ◽  
◽  
Susan C. Lee ◽  
Andrew L. Ding ◽  
Suman Rajagopalan ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Orotracheal Intubation ◽  
Obese Patients

scholarly journals Airway Tube Exchanger Techniques in Morbidly Obese Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Danai Udomtecha
Keyword(s):  
Morbid Obesity ◽  
Airway Management ◽  
Endotracheal Tube ◽  
Surgical Procedures ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Tube Exchange ◽  
Airway Tube

Morbidly obese patients may present a challenge during airway management. When airway tube exchange is required, it can even be more challenging than the primary intubation. With the increasing prevalence of morbid obesity over the years, there will be increasing numbers of these patients presenting for surgical procedures, including ones that require endotracheal tube exchanges. It is therefore important for anesthesiologists to be familiar with options and limitations of the airway tube exchanger techniques.

scholarly journals Hemodynamic and Hormonal Stress Responses to Endotracheal Tube and ProSeal Laryngeal Mask AirwayTMfor Laparoscopic Gastric Banding

2012 ◽  
Vol 117 (2) ◽  
pp. 309-320 ◽  
Author(s):  
Michele Carron ◽  
Stefano Veronese ◽  
Walter Gomiero ◽  
Mirto Foletto ◽  
Donato Nitti ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Laryngeal Mask Airway ◽  
Gastric Banding ◽  
Endotracheal Tube ◽  
Stress Responses ◽  
Laparoscopic Gastric Banding ◽  
Laryngeal Mask ◽  
Postanesthesia Care Unit ◽  
Plasma Norepinephrine ◽  
Obese Patients

Background The stress responses from tracheal intubation are potentially dangerous in patients with higher cardiovascular risk, such as obese patients. The primary outcome objective of this study was to test whether, in comparison with the endotracheal tube (ETT), the Proseal™ Laryngeal Mask Airway (PLMA™) (Laryngeal Mask Airway Company, Jersey, United Kingdom) reduces blood pressure and norepinephrine responses and the amounts of muscle relaxants needed in obese patients. Methods We assessed hemodynamic and hormonal stress responses, ventilation, and postoperative recovery in 75 morbidly obese patients randomized to receive standardized anesthesia with either an ETT or the PLMA™ for laparoscopic gastric banding. Results In repeated-measures ANOVA, mean arterial blood pressure and plasma norepinephrine were significantly higher in the ETT group than in the PLMA™ group. In individual pairwise comparisons, blood pressure rose higher in ETT than PLMA™ patients after insertion and removal of airway devices, and after recovery. In ETT compared with PLMA™ patients, plasma norepinephrine was higher after induction of carboperitoneum (mean ± SD, 534 ± 198 and 368 ± 147 and pg/ml, P = 0.001), after airway device removal (578 ± 285 and 329 ± 128 pg/ml, P < 0.0001), and after recovery in postanesthesia care unit (380 ± 167 and 262 ± 95 and pg/ml, P = 0.003). Compared with use of the ETT, the PLMA™ reduced cisatracurium requirement, oxygen desaturation, and time to discharge from both the postanesthesia care unit and the hospital. Conclusions PLMA™ reduces stress responses and postoperative complaints after laparoscopic gastric banding.

scholarly journals The Application of a SaCoVLMTM Visual Intubation Laryngeal Mask for the Management of Difficult Airways in Morbidly Obese Patients: Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Yongtao Sun ◽  
Linlin Huang ◽  
Lingling Xu ◽  
Min Zhang ◽  
Yongle Guo ◽  
...  
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Orotracheal Intubation ◽  
Morbidly Obese ◽  
Anesthesia Induction ◽  
Obese Patients ◽  
Anesthetic Induction ◽  
Vocal Cords ◽  
Difficult Airways ◽  
Intravenous Atropine

We report insertion of the SaCoVLMTM in three awake morbidly obese patients (BMI 46. 7–52.1 kg/m2). The patients were given intravenous atropine and midazolam injections after entering the operating room and then inhaled an anesthetic with 2% lidocaine atomization. After SaCoVLMTM insertion while patients were awake, when the vocal cords were visualized, controlled anesthetic induction commenced with spontaneous ventilation. The entire anesthesia induction and intubation process was completed under visualization, and no adverse events such as hypoxemia occurred. No patient had an unpleasant recall of the procedure. We conclude that the SaCoVLMTM is easy to use, well tolerated and suitable for awake orotracheal intubation in patients with known difficult airways.

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