Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 13 , ISSUE 3 ( September-December, 2024 ) > List of Articles

REVIEW ARTICLE

A Framework for Safe Noninvasive Airway Management in Obese Patients: A Literature Review

Dhanush Anand, Mahesh BR, Krishna PT, Anju Sudharsanan

Keywords : Airway techniques, Difficult airway, Mask ventilation, Nasopharyngeal airway, Obesity, Oropharyngeal airway

Citation Information : Anand D, BR M, PT K, Sudharsanan A. A Framework for Safe Noninvasive Airway Management in Obese Patients: A Literature Review. Panam J Trauma Crit Care Emerg Surg 2024; 13 (3):134-137.

DOI: 10.5005/jp-journals-10030-1466

License: CC BY-NC 4.0

Published Online: 31-12-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Proper airway management begins by determining the best airway strategy for the patient. The primary goal of airway management is to deliver adequate ventilation and oxygenation to prevent the progression to cardiopulmonary arrest. Effective and timely airway management is also essential to successful cardiopulmonary resuscitation. Given the lack of consensus and the evolving landscape of perioperative care for obese patients, this review article aims to investigate the ease of mask ventilation in obese patients. It is of paramount importance due to the unique anatomical and physiological challenges posed by obesity. This review article provides an understanding of the nasopharyngeal airway, oropharyngeal airway, and various mask ventilation approaches performed for these airway adjuncts for obese patients. Noninvasive methods should be prioritized for airway maintenance unless invasive management is needed. This precise review aimed to ensure that the body can overcome an intrinsic positive end-expiratory pressure threshold necessary to start breathing and raise lung compliance through noninvasive ventilation. Evidence shows that nasopharyngeal airway length is related to height, not sex. Nasopharyngeal airway insertion causes a stronger response than oropharyngeal insertion. The oropharyngeal airway helps with tongue-related obstructions, especially when lying supine. The C-E technique is generally more effective and comfortable than the V-E technique. For unconscious, obese, apneic adults, the modified V-E technique is more effective than the C-E technique, but the V-E technique can often succeed where the C-E technique fails. The main objective is to ensure a comparative review of various airway devices in aiding ventilation without intubation.


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