Laryngeal mask airway bougie ultrasonography guided intubation in a morbidly obese patient with diffi cult airway  

作　　者：Rachana Bhat Preeti Yadav Jyothiswaroop Bhaskararayuni Akhil Neseem Savan Kumar Nagesh Prakash Ranjan Mishra 

机构地区：[1]Department of Emergency Medicine,Kasturba Medical College,Manipal Academy of Higher Education,Manipal 576104,India [2]Department of Emergency Medicine,All India Institute of Medical Sciences,New Delhi 110029,India [3]Department of Anaesthesiology,All India Institute of Medical Sciences,New Delhi 110029,India [4]Department of Anaesthesiology,Kasturba Medical College,Manipal Academy of Higher Education,Manipal 576104,India

出　　处：《World Journal of Emergency Medicine》2023年第3期241-243,共3页世界急诊医学杂志（英文）

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 procedure.Rapid 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.

关 键 词：AIRWAY MORBID OBESE 

分 类 号：R589.2[医药卫生—内分泌]