Steps to Avoid Complications of Airway Management in Obese Patients:
I need to write paper 3 pages long double space . Please use pub.med for articles not older than 4 years . Also write in AMA format/style . Here part that I need to discuss in my paper :
Preoxygenation/Low Functional Residual Capacity, Apnea and Atelectasis risk.
Cost related to failure to prevent above things/increased hospital stay/unable to extubate or wake patient , prolong ICU stay.
Here some helpful hints :
Must preoxygenate the obese patient.
- safe apnea for obese is shorter than healthy patients due to high O2 consumption, decreased rib cage compliance, increased lung resistance, and most importantly, a reduction in Functional Residual Capacity (FRC)
- time needed to increase O2 sat is prolonged
- intubation is delayed due to difficult airway
- vital capacity and expiratory reserve volume are decreased
- downward diaphragmatic movements are limited
- greater atelectasis (put PEEP on ventilator)