Laryngeal mask airway bougie ultrasonography guided intubation in a morbidly obese patient with diffi cult airway
作者机构:Department of Emergency MedicineKasturba Medical CollegeManipal Academy of Higher EducationManipal 576104India Department of Emergency MedicineAll India Institute of Medical SciencesNew Delhi 110029India Department of AnaesthesiologyAll India Institute of Medical SciencesNew Delhi 110029India Department of AnaesthesiologyKasturba Medical CollegeManipal Academy of Higher EducationManipal 576104India
出 版 物:《World Journal of Emergency Medicine》 (世界急诊医学杂志(英文))
年 卷 期:2023年第14卷第3期
页 面:241-243页
核心收录:
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
摘 要:Airway management of morbidly obese patients is challenging due to inherent anatomical and physiological variations.[1]The frequent association of compromised hemodynamics,hypoxemia,or acidosis in an emergency department(ED)setting adds to the difficulty of the *** airway management position(RAMP),awake fiber-optic guided intubation,use of intubating laryngeal mask airway(ILMA),and video-laryngoscope are a few techniques that have been described to tackle difficult airways in these patients.[2]Studies have shown that the availability of fi ber-optic scopes(3%–60%),videolaryngoscopes(39%–88%),and laryngeal mask airways(LMA)(65%–83%)varies in different ED settings.[3,4]Furthermore,a lack of adequate training and the need for time-bound resuscitation make implementation of the above techniques challenging.