Ventilation, as well as intubation of a morbidly obese patient, is challenging and require special preparations and skilful hands, in this study laryngeal mask airway insertion is used as a bridge for intubation to facilitate ventilation as give enough time to anaesthetics and muscle relaxants to work on.
The ordinary pathway of intubating a morbidly obese patient for sleeve gastrectomy is bordered by the risk of difficult ventilation and intubation with the subsequent events of hypoxia and hypoventilation. When the patient is easy ventilated, it gives some sort of confidence and pleasure for the anaesthetist that the way of intubation will not be so hard. One problem here is the difficulty of ventilating a morbidly obese patient, in this study the investigators used laryngeal mask airway as a bridge before inserting the endotracheal tube
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
36
Insertion of laryngeal mask airway before intubation of a morbidly obese patient
use of face mask before intubation of a morbidly obese patient
Suez Canal University
Ismailia, Egypt
Time to intubation TTI
The time starts with insertion of glidescop and ends at its withdrawal
Time frame: During the action of intubation after induction of anaesthesia
View of the glottis
Based on the percentage of glottic opening (POGO) score as well as Cormack and Lehane's (C\&L) classification
Time frame: During the action of intubation after induction of anaesthesia
Number of attempts required for intubation,
How many times the anaesthetist needs to try to succeed in insertion of the endotracheal tube
Time frame: During the action of intubation after induction of anaesthesia
Anaesthetist's satisfaction score
On a scale rang from 0 representing totally dissatisfied to 10 representing fully satisfied
Time frame: During the action of intubation after induction of anaesthesia
Intubation difficulty score (IDS)
Intubation difficulty score (IDS) is the sum of seven variables, each presents 1 point, score 0 represents easy intubation, score 1 to 5 represents moderate difficulty and score more than 5 was considered difficult intubation.
Time frame: During the action of intubation after induction of anaesthesia
Need for external pressure during intubation
to direct the larynx downward to facilitate endotracheal intubation
Time frame: During the action of intubation after induction of anaesthesia
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