https://doi.org/10.4081/amsa.2024.33

Awake intubation in a patient with morbid obesity in the emergency department: our experience

Vol. 2 No. 1 (2024)
Submitted: 22 September 2023
Accepted: 27 May 2024
Published: 4 July 2024
Awake intubation, obesity, guidelines
Abstract Views: 401
PDF: 116
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Authors

Gianmaria Chicone
gchicone@gmail.com
Department of Anesthesia and Intensive Care, Ospedale del Mare, Napoli, Italy.
Viviana Miccichè
Department of Anesthesia and Intensive Care, Ospedale del Mare, Napoli, Italy.
Rosa Gallo
Department of Anesthesia and Intensive Care, Azienza Ospedaliera Cosenza, Italy.
Francesco Maiarota
Department of Anesthesia and Intensive Care, Azienza Ospedaliera Cosenza, Italy.
Roberta Toto
Department of Anesthesia and Intensive Care, Ospedale del Mare, Napoli, Italy.
Ciro Fittipaldi
Department of Anesthesia and Intensive Care, Ospedale del Mare, Napoli, Italy.
Michele Iannuzzi
Department of Anesthesia and Intensive Care, Ospedale del Mare, Napoli, Italy.

Awake intubation is considered the standard of care for the management of the anticipated difficult airway. For its pharmacological properties, remifentanil is ideal for managing difficult endotracheal insertions. This process is augmented by the use of transtracheal injection of lidocaine as it disperses evenly around the area and facilitates the action of remifentanil further. A 48-year-old male patient, weight 200 kg, 184cm tall (BMI>40) came into the emergency room for severe hypercapnic hypoxic respiratory failure. Awake fiberoptic intubation was the option to secure the airway. Successful airway management is critical to the practice of emergency medicine. All anesthesiologists should be familiar with the airway management of obese patients.

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How to Cite

Chicone, G., Miccichè, V., Gallo, R., Maiarota, F., Toto, R., Fittipaldi, C., & Iannuzzi, M. (2024). Awake intubation in a patient with morbid obesity in the emergency department: our experience. Acute Care Medicine Surgery and Anesthesia, 2(1). https://doi.org/10.4081/amsa.2024.33
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