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Difficult Tracheal Intubation Is More Common in Obese Than in Lean Patients

Anesthesia & Analgesia · 2003 · Vol. 97(2) · pp. 595–600

Philippe Juvin✉(Hôpital Bichat-Claude-Bernard)Elisabeth Lavaut(Hôpital Bichat-Claude-Bernard)Hervé Dupont(Hôpital Bichat-Claude-Bernard)P. Lefevre(Hôpital Bichat-Claude-Bernard)M. Demetriou(Hôpital Bichat-Claude-Bernard)Jean-Louis Dumoulin(Hôpital Bichat-Claude-Bernard)Jean-Marie Desmonts(Hôpital Bichat-Claude-Bernard)

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Abstract

We report a difficult intubation rate of 15.5% in obese patients and 2.2% in lean patients. None of the risk factors for difficult intubation described in the lean population was satisfactory in the obese patients. We also report a high risk of desaturation in obese patients with difficult intubation.

Airway Management and Intubation Techniques Tracheal and airway disorders Restraint-Related DeathsMedicineIntubationOdds ratioBody mass indexTracheal intubationConfidence intervalAnesthesiaRisk factorIncidence (geometry)Internal medicine

MeSH terms

AdolescentAdultAgedFemaleHumansIntubation, IntratrachealLaryngoscopyMaleMiddle AgedObesity, MorbidPredictive Value of TestsRisk FactorsSensitivity and SpecificityThinnessGastroplasty

Citations

524

FWCI

17.94

field-weighted impact

References

Percentile

100%

vs. same field & year

Citations per year

Cited by

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway *