| Title: |
Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
| Authors: |
Vaithialingam, Balaji; Muthuchellappan, Radhakrishnan |
| Source: |
Saudi Journal of Anaesthesia ; volume 16, issue 3, page 361-363 ; ISSN 1658-354X |
| Publisher Information: |
Medknow |
| Publication Year: |
2022 |
| Description: |
The conduct of anesthesia in morbidly obese patients undergoing neurosurgical procedures can be challenging considering the multi-system organ involvement. Implementation of conventional lung-protective ventilation in morbidly obese patients can have a negative impact on the intra-cranial dynamics. We report a series of three patients with morbid obesity and a difficult airway for the neurosurgical procedure. The patients were oxygenated with high-flow oxygen devices to ensure an adequate oxygen reserve in the peri-operative period. A modified intra-operative lung-protective ventilation with normocarbia was implemented with no impact on the intra-cranial pressure in the prone position in two of the patients. Oxygenation with high-flow devices should be considered during the peri-operative period in morbidly obese patients to avert an adverse respiratory event, and a modified lung-protective ventilation technique is feasible with normal intra-cranial dynamics intra-operatively. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.4103/sja.sja_198_22 |
| Availability: |
https://doi.org/10.4103/sja.sja_198_22; https://journals.lww.com/10.4103/sja.sja_198_22 |
| Accession Number: |
edsbas.26F8CDDC |
| Database: |
BASE |