Airway management in obese patients

master's thesis

• Title (croatian): Održavanje dišnog puta u pretilih bolesnika
• Author: Bernard Brozović
• Mentor: Dinko Tonković (mentor)
• Committee member: Dinko Tonković (predsjednik povjerenstva)
• Committee member: Slobodan Mihaljević (član povjerenstva)
• Committee member: Daniela Bandić Pavlović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Obesity, a prevalent modern disease, proposes many challenges for the medical profession. There has been substantial research done in order to battle them. Alternation in human anatomy and physiology due to obesity poses additional challenges for anesthesiology and many strategies are being developed to meet all necessary requirements in order to sustain the same quality provided in so-called normal average patients. Airway management underwent a lot of improvements over time and many different techniques have arisen to provide and sustain a patient state of oxygenation and post surgical recovery. Modifications on already existing techniques also have their role in strategies that are getting into protocols used in airway management in obese patient. Such patients come with multiple complications and present a difficulty to have effective preoperative preparation and intraoperative management. To decrease complications and to improve recovery of the obese patients depends on finding a proper plan and the development of new methods for obese patient management.

Abstract (croatian)

Pretilost se smatra modernom bolešću koja donosi mnogo izazova za medicinsku djelatnost danas, no velika količina istraživanja je provedena da bi se došlo do rješenja kad je u pitanju pretilost. Promjene koje se događaju u anatomiji i fiziologiji čovjeka koji je pretio predstavljaju veliki izazov za anesteziologiju i velik broj strategija se razvio da bi se zadovoljili isti uvjeti koji su viđeni kod takozvanih prosječnih normalnih bolesnika. Anatomija mnogih sustava pogotovo dišnog je uvelike pod mehaničkim utjecajem masnog tkiva koje dolazi iz mnogih faktorijalnih etiologija i razvija direktnu fiziološku promjenu u pretilih bolesnika. Održavanje dišnih puteva kroz vrijeme se poboljšalo i veliki broj različitih tehnika se razvio kako bi se održala razina kisika kod bolesnika i omogućilo oporavak nakon operativnog zahvata. Modifikacije kod već razvijenih tehnika viđenih u radu isto imaju svoj udio u strategijama koje postaju sve više dio protokola rabljenih u održavanju dišnih puteva kod pretilih bolesnika. Postoji veliki broj komplikacija s kojima dolaze pretili bolesnici, a to je također problem koji otežava pripremu bolesnika prije operativnog zahvata, a isto tako i održavanje bolesnika za vrijeme operativnog zahvata. Treba dakle dobro proučiti i razviti plan za pretilog bolesnika - ovo leži na mnogim promjenama i razvitku novih metoda koje mogu odvesti do smanjenja pojava komplikacija, a i poboljšati oporavak bolesnika.

• Keywords: obesity; difficult airway; anesthesia; oxygenation; obstructive sleep apnea; trachea; ventilation; intubation; aspiration; laryngoscopy; supraglottic airway devices
• Keywords (croatian): pretilost; otežano disanje; anestezija; oksigenacija; opstruktivna apneja; traheja; ventilacija; intubacija; aspiracija; laringoskopija; supraglotička pomagala
• Language: english
• URN:NBN: urn:nbn:hr:105:285429
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-10-05 07:40:46