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Published in: Obesity Surgery 10/2016

01-10-2016 | Letter to the Editor

Difficult Tracheal Intubation in Obese Gastric Bypass Patients

Authors: Sébastien Bertran, Elie Chouillard, Radwan Kassir

Published in: Obesity Surgery | Issue 10/2016

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Excerpt

Difficult tracheal intubation (DTI) is a worrying feature of difficult airway [1]. Anesthesiologists know that correct oxygenation is the cornerstone of rapid sequence induction and airway management. Strategies to predict DTI, difficult face mask ventilation, or both [2, 3] and algorithms were proposed [4] to tackle this issue. …
Literature
1.
go back to reference Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33–9.CrossRefPubMed Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33–9.CrossRefPubMed
2.
go back to reference Langeron O, Masso E, Huraux C, et al. Prediction of difficult mask ventilation. Anesthesiology. 2000;92(5):1229–36.CrossRefPubMed Langeron O, Masso E, Huraux C, et al. Prediction of difficult mask ventilation. Anesthesiology. 2000;92(5):1229–36.CrossRefPubMed
3.
go back to reference Langeron O, Cuvillon P, Ibanez-Esteve C, et al. Prediction of difficult tracheal intubation: time for a paradigm change. Anesthesiology. 2012;117(6):1223–33.CrossRefPubMed Langeron O, Cuvillon P, Ibanez-Esteve C, et al. Prediction of difficult tracheal intubation: time for a paradigm change. Anesthesiology. 2012;117(6):1223–33.CrossRefPubMed
4.
go back to reference Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827–48.CrossRefPubMedPubMedCentral Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827–48.CrossRefPubMedPubMedCentral
5.
go back to reference Dohrn N, Sommer T, Bisgaard J, Rønholm E, Larsen JF. Difficult tracheal intubation in obese gastric bypass patients. Obes Surg. 2016;17. Dohrn N, Sommer T, Bisgaard J, Rønholm E, Larsen JF. Difficult tracheal intubation in obese gastric bypass patients. Obes Surg. 2016;17.
6.
go back to reference Lundstrøm LH, Møller AM, Rosenstock C, et al. High body mass index is a weak predictor for difficult and failed tracheal intubation: a cohort study of 91,332 consecutive patients scheduled for direct laryngoscopy registered in the Danish Anesthesia Database. Anesthesiology. 2009;110(2):266–74.PubMed Lundstrøm LH, Møller AM, Rosenstock C, et al. High body mass index is a weak predictor for difficult and failed tracheal intubation: a cohort study of 91,332 consecutive patients scheduled for direct laryngoscopy registered in the Danish Anesthesia Database. Anesthesiology. 2009;110(2):266–74.PubMed
7.
go back to reference Ezri T, Medalion B, Weisenberg M, et al. Increased body mass index per se is not a predictor of difficult laryngoscopy. Can J Anaesth. 2003;50(2):179–83.CrossRefPubMed Ezri T, Medalion B, Weisenberg M, et al. Increased body mass index per se is not a predictor of difficult laryngoscopy. Can J Anaesth. 2003;50(2):179–83.CrossRefPubMed
8.
go back to reference Gonzalez H, Minville V, Delanoue K, et al. The importance of increased neck circumference to intubation difficulties in obese patients. Anesth Analg. 2008;106(4):1132–6.CrossRefPubMed Gonzalez H, Minville V, Delanoue K, et al. The importance of increased neck circumference to intubation difficulties in obese patients. Anesth Analg. 2008;106(4):1132–6.CrossRefPubMed
9.
go back to reference Gander S, Frascarolo P, Suter M, et al. Positive end-expiratory pressure during induction of general anesthesia increases duration of nonhypoxic apnea in morbidly obese patients. Anesth Analg. 2005;100(2):580–4.CrossRefPubMed Gander S, Frascarolo P, Suter M, et al. Positive end-expiratory pressure during induction of general anesthesia increases duration of nonhypoxic apnea in morbidly obese patients. Anesth Analg. 2005;100(2):580–4.CrossRefPubMed
10.
go back to reference Futier E, Constantin JM, Pelosi P, et al. Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Anesthesiology. 2011;114(6):1354–63.CrossRefPubMed Futier E, Constantin JM, Pelosi P, et al. Noninvasive ventilation and alveolar recruitment maneuver improve respiratory function during and after intubation of morbidly obese patients: a randomized controlled study. Anesthesiology. 2011;114(6):1354–63.CrossRefPubMed
11.
go back to reference Sajayan A, Wicker J, Ungureanu N, Mendonca C, Kimani PK. Current practice of rapid sequence induction of anaesthesia in the UK—a national survey. Br J Anaesth. 2016;24. Sajayan A, Wicker J, Ungureanu N, Mendonca C, Kimani PK. Current practice of rapid sequence induction of anaesthesia in the UK—a national survey. Br J Anaesth. 2016;24.
12.
go back to reference Tran DT, Newton EK, Mount VA, et al. Rocuronium versus succinylcholine for rapid sequence induction intubation. Cochrane Database Syst Rev. 2015;29:10. Tran DT, Newton EK, Mount VA, et al. Rocuronium versus succinylcholine for rapid sequence induction intubation. Cochrane Database Syst Rev. 2015;29:10.
13.
go back to reference Ikeda A, Isono S, Sato Y, et al. Effects of muscle relaxants on mask ventilation in anesthetized persons with normal upper airway anatomy. Anesthesiology. 2012;117(3):487–93.CrossRefPubMed Ikeda A, Isono S, Sato Y, et al. Effects of muscle relaxants on mask ventilation in anesthetized persons with normal upper airway anatomy. Anesthesiology. 2012;117(3):487–93.CrossRefPubMed
14.
go back to reference Lee BJ, Yi JW, Chung JY, et al. Bedside prediction of airway length in adults and children. Anesthesiology. 2009;111(3):556–60.CrossRefPubMed Lee BJ, Yi JW, Chung JY, et al. Bedside prediction of airway length in adults and children. Anesthesiology. 2009;111(3):556–60.CrossRefPubMed
15.
go back to reference Martini CH, Boon M, Bevers RF, et al. Evaluation of surgical conditions during laparoscopic surgery in patients with moderate vs deep neuromuscular block. Br J Anaesth. 2014;112(3):498–505.CrossRefPubMed Martini CH, Boon M, Bevers RF, et al. Evaluation of surgical conditions during laparoscopic surgery in patients with moderate vs deep neuromuscular block. Br J Anaesth. 2014;112(3):498–505.CrossRefPubMed
16.
go back to reference Plaud B, Debaene B, Donati F, et al. Residual paralysis after emergence from anesthesia. Anesthesiology. 2010;112(4):1013–22.CrossRefPubMed Plaud B, Debaene B, Donati F, et al. Residual paralysis after emergence from anesthesia. Anesthesiology. 2010;112(4):1013–22.CrossRefPubMed
Metadata
Title
Difficult Tracheal Intubation in Obese Gastric Bypass Patients
Authors
Sébastien Bertran
Elie Chouillard
Radwan Kassir
Publication date
01-10-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2332-8

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