AI Article Synopsis
- Anesthetic care for morbidly obese patients is complicated due to their unique anatomical and physiological changes, especially in airway management.
- High body mass index (BMI) can lead to issues with ventilation and intubation, and specific airway problems like tracheal stenosis further complicate the situation.
- A case is described where a morbidly obese patient faced two unsuccessful intubation attempts due to challenging anatomy and previously undiagnosed tracheal stenosis.
Article Abstract
Anesthetic care of the morbidly obese is complex due to anatomic and physiologic alterations. Airway management in particular can be challenging. High body mass index is predictive of difficult ventilation and possibly difficult intubation. Other airway anomalies, such as tracheal stenosis, add to the complexity of airway management. Tracheal stenosis, a form of central airway obstruction, may be challenging to diagnose, especially in the obese. Comorbidities can mask the diagnosis and routine imaging may fail to identify the pathology. We present the case of a morbidly obese patient with 2 failed intubations due to difficult anatomy compounded with undiagnosed tracheal stenosis.
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| http://dx.doi.org/10.1016/j.jclinane.2016.07.026 | DOI Listing |
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