Oriol-López SA, Luna-Robledo EJ, Hernández-Bernal CE, López-Cárdenas LK

Language: Spanish
References: 28
Page: 83-90
PDF size: 262.12 Kb.

ABSTRACT

Obesity in Mexico is a health problem, surgeries are more frequent in these patients. The anaesthetic management implies a challenge; there are problems in the manipulation of the airway, due the characteristics of the disease. It is necessary to determine whether intubation, ventilation or both, are present in the obese. Material and methods: We evaluate the airway of obese (I to IV), through the scales of Mallampati, Bellhouse Doré, Patil Aldreti, distance intercisives, esternomentonian and neck circumference, valuing also the scale of difficult ventilation, during laryngoscopy, the scale of Cormack-Lehane, in addition we collected the number of attempts, people, maneuvers, trauma and time spent in the ventilation and intubation. Results: We included 150 obese men and women. Ventilation showed difficulty in 37%, 24% with difficulty for intubation; the analysis of scales assessing airway, ventilation and intubation maneuvers are statistically significant p ‹ 0.000, the correlation between the Cormack scale and the scale of intubation is r = 0.84, with the number of operators r = 0.65, attempts r = 0.50 and time for intubation r = 0.43, a slight correlation with the Mallampati, Bell house and Pattil.

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