Airway Assessment And Protection In The Morbidly Obese Patient
A 55 year old morbidly obese male was scheduled for ventral hernia repair which was delayed due to preoperative UTI. The patient was hospitalized for medical management of UTI. During hospitalization he had an aspiration event with subsequent pneumonia leading to acute hypoxic respiratory failure and ultimately septic shock leading to ischemia of the strangulated hernia and necrotic bowel necessitating emergent surgery. It is essential to understand the risks of aspiration in the morbidly obese population as well as adequately assess the airway and ensure adequate airway protection in the perioperative period.
Carney C, Constantinescu S, Soto R, Fowler J. Airway assessment and protection in the morbidly obese patient. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.