Cargando…
Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures
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....
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311174/ https://www.ncbi.nlm.nih.gov/pubmed/35898536 http://dx.doi.org/10.4103/sja.sja_198_22 |
_version_ | 1784753548938969088 |
---|---|
author | Vaithialingam, Balaji Muthuchellappan, Radhakrishnan |
author_facet | Vaithialingam, Balaji Muthuchellappan, Radhakrishnan |
author_sort | Vaithialingam, Balaji |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-9311174 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-93111742022-07-26 Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures Vaithialingam, Balaji Muthuchellappan, Radhakrishnan Saudi J Anaesth Case Report 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. Wolters Kluwer - Medknow 2022 2022-06-20 /pmc/articles/PMC9311174/ /pubmed/35898536 http://dx.doi.org/10.4103/sja.sja_198_22 Text en Copyright: © 2022 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Vaithialingam, Balaji Muthuchellappan, Radhakrishnan Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
title | Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
title_full | Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
title_fullStr | Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
title_full_unstemmed | Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
title_short | Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
title_sort | feasibility of thrive oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311174/ https://www.ncbi.nlm.nih.gov/pubmed/35898536 http://dx.doi.org/10.4103/sja.sja_198_22 |
work_keys_str_mv | AT vaithialingambalaji feasibilityofthriveoxygenationandintraoperativelungprotectiveventilationinmorbidlyobesepatientsundergoingneurosurgicalprocedures AT muthuchellappanradhakrishnan feasibilityofthriveoxygenationandintraoperativelungprotectiveventilationinmorbidlyobesepatientsundergoingneurosurgicalprocedures |