Airway closure is a frequent occurrence in obese patients during anesthesia and may be exacerbated by surgical pneumoperitoneum.
Researchers in Italy performed a study on 50 morbidly obese adult patients undergoing gynecological laparoscopic and/or robot-assisted surgery to investigate the effect of pneumoperitoneum combined with the Trendelenburg position. This Journal Club presentation looks at the individual aspects - airway closure, surgical pneumoperitoneum, and obesity – before reviewing the main results and conclusions to be drawn from the study.
Domenico Luca Grieco, Gian Marco Anzellotti, Andrea Russo, et al. Airway Closure during Surgical Pneumoperitoneum in Obese Patients. Anesthesiology 2019; 131:58–73.
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