Describe the preoperative management of a morbidly obese patient with a difficult airway Assume that the patient is otherwise healthy

Christian Fat Loss

Best Weight Loss Programs That Work

Get Instant Access

A morbidly obese patient is considered at increased risk of pulmonary aspiration during induction of anesthesia because of delayed gastric emptying and the possibility of difficult airway management. Therefore H2 blockers given the evening before (if possible) and the morning of surgery, preoperative metoclopramide, and oral nonparticulate antacids are in order. Glycopyrrolate is useful for planned fiberoptic intubation. It improves visualization by drying secretions, increases the effectiveness of the topical anesthesia, and decreases airway responsiveness. Opioids and benzodiazepines should be judiciously titrated, using supplemental oxygen and close observation to ensure an awake, appropriately responding patient who can protect his or her own airway.

Was this article helpful?

0 0
Weight Loss All Star

Weight Loss All Star

Are you looking to lose weight or even just tone up? What is stopping you from having the body you want and help you feel great at the same time? I created Weight Loss All-Star for all those wanting to lose weight, and keep the weight off. I know how hard it is to do diets and stick with them, and get the motivation to get up and exercise.

Get My Free Ebook

Post a comment