Awake video laryngoscopic intubation in the obese patient

Authors

  • Pedro Andrade Assistente Hospitalar no Serviço de Anestesiologia do Serviço de Saúde da Região Autónoma da Madeira (SESARAM), EPE, Funchal, Portugal.
  • Raquel Tranquada Serviço de Saúde da Região Autónoma da Madeira (SESARAM), E.P.E. http://orcid.org/0000-0002-8251-1933

DOI:

https://doi.org/10.25751/rspa.9785

Keywords:

Airway Management, Bariatric Surgery, Intubation, Intratracheal, Laryngoscopy, Video-Assisted Surgery, Wakefulness

Abstract

Background: Video laryngoscopy in the awake patient may be useful in the anaesthesia of morbid obese patient. The aim of our study was, therefore, to evaluate the effectiveness of video laryngoscopy for tracheal intubation in these patients.

Methods: This prospective and observational study involved 32 patients undergoing bariatric surgery. After sedation and anaesthesia of the upper airways, tracheal intubation was performed with the patient awake, spontaneously breathing and with the use of video laryngoscopy. The procedure was suspended if more than three attempts were required, severe gagging or coughing occurred or if it was impossible to view the vocal chords.

Results: The success rate was 97%. Twenty nine patients were intubated in the first attempt (91%), one on the second attempt (3%), and one on the third attempt (3%). Only one patient did not tolerate the procedure.

Conclusions: The use of video laryngoscopy with the patient awake should be considered in the airway management of obese patients.

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Author Biography

Raquel Tranquada, Serviço de Saúde da Região Autónoma da Madeira (SESARAM), E.P.E.

Assistente graduada sénior em Anestesiologia

Published

2018-02-10

How to Cite

Andrade, P., & Tranquada, R. (2018). Awake video laryngoscopic intubation in the obese patient. Journal of the Portuguese Society of Anesthesiology, 26(3). https://doi.org/10.25751/rspa.9785

Issue

Vol. 26 No. 3 (2017): Revista da Sociedade Portuguesa de Anestesiologia

Section

Original Article

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