This case highlights the importance of the multidisciplinary approach to a morbidly obese patient. An airway plan should be developed between the anesthesiologist, surgeon, and intensive care unit team. A strong understanding of tracheostomy tubes and their function is critical for the anesthesiologist. Continuous delivery of oxygen is pivotal when attempting to secure the airway by any means. Finally, we show a technique to continually supply oxygen while attempting to intubate via the LMA.
KeywordsObesity Dioxide Fentanyl Lidocaine Midazolam
- Birnbach D, Browne I. Airway management in the adult. In: Miller R, editor. Miller’s anesthesia. 7th ed. Philadelphia: Churchill Livingstone Elsevier; 2009. p. 1573–611.Google Scholar
- Bissell C. Aaron’s Tracheostomy Page. 1996–2011. Available at www.tracheostomy.com. Accessed 28 May 2013.
- Hines R, Marschall K. Anesthesia and co-existing diseases. 5th ed. New York: Churchill Livingstone; 2008.Google Scholar