Reevaluation of the airways of obese patients undergone bariatric surgery after reduction in body mass index.

نویسندگان

  • José Admirço Lima Filho
  • Eliana Marisa Ganem
  • Bruno Gardélio Pedreira de Cerqueira
چکیده

BACKGROUND AND OBJECTIVES Difficulty intubating is a cause of mortality in anesthesiology and it can be related to obesity. The diagnosis of difficult intubation contributes for successful airways management. However, parameters that predict difficult airways are not well established. Mallampati classification, the interincisor gap, neck circumference, thyromental distance, and the presence of obstructive sleep apnea, are parameters that can indicate difficult intubation. Surgical treatment of obesity provides reduction in body mass index (BMI) with stabilization after about 2 years. The objective of the present study was to reevaluate the parameters described above and compare them with pre-surgical values. METHODS The BMI, Mallampati classification, neck circumference, interincisor gap, thyromental distance, and the degree of obstructive sleep apnea in polysomnography were evaluated in 51 patients of both genders in the preoperative period. Two years after the surgery and reduction of the BMI to < 35 kg.m(-2), predictor factors of difficult airways were reevaluated by another anesthesiologist who knew the patients' BMI before surgery. Nine patients were excluded. The new reevaluation was performed, and for those who did not have another polysomnography the somnolence scale of Epiworth was applied. RESULTS Forty-two patients were reevaluated. They showed a reduction in BMI and neck circumference, and an increase in both interincisor gap and thyromental distance. Only one patient showed a reduction in Mallampati scale, and only 4 patients performed polysomnography. CONCLUSIONS Reduction of the BMI allows for an increased interincisor gap, thyromental distance, and reduction in neck circumference. Mallampati classification remains the same.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The impact of weight reduction surgery on health-care costs in morbidly obese patients.

BACKGROUND The treatment of obesity and related comorbidities are significant financial burdens and sources of resource expenditure. This study was conducted in order to assess the impact of weight-reduction surgery on health-related costs. METHODS This was an observational two-cohort study. The treatment cohort included patients having undergone weight-reduction (bariatric) surgery at the Mc...

متن کامل

Effect of Laparoscopic Gastric Plication on the Blood Protein Profile of Obese Subjects Using Shotgun Proteomics

Introduction: Nowadays, bariatric surgery is considered to be the most effective technique in the treatment of morbid obesity. In the current study, the effect of Laparoscopic Gastric Plication (LGP), a new technique, on the serum protein profile of obese patients has been investigated following surgery. Materials and Methods: Serum of 16 obese subjects with mean body mass index (BMI) of 41.2±5...

متن کامل

Pregnancy outcomes in women after bariatric surgery compared with obese and morbidly obese controls.

OBJECTIVE To estimate the rates of pregnancy outcomes of women after bariatric surgery relative to women in a control groups. METHODS The study was a chart review. Presurgery and prepregnancy body mass index (BMI) were calculated for 70 patients who had undergone bariatric surgery and who had a subsequent singleton pregnancy. Four control patients were then randomly selected for each case pat...

متن کامل

Effect of Bady Mass Index on patients prognosis after heart surgery

Introduction: Patients with high or low body mass index may be more at risk of death and complications after surgery, especially in patients who have coronary artery bypass grafting may be the outcome could be more specific, so we decided to evaluate effect BMI and its correlation with survival and outcome in cardiac surgery. Methods: A Cross sectional study of 345 patients who underwent sur...

متن کامل

Efficacy of Cognitive-Behavioral Interventions in Weight Loss of People with Body Mass Index of 30 or Above (Obesity)

Objective: Obesity is a major health problem. Nowadays approximately one-third of the&nbsp;world population suffer from obesity which is frequently accompanied with serious medical&nbsp;and emotional problems. Three main evidence-based options exist for the treatment of obese&nbsp;individuals: lifestyle modification, pharmacotherapy, and bariatric surgery. The purpose of&nbsp;this study was to ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Revista brasileira de anestesiologia

دوره 61 1  شماره 

صفحات  -

تاریخ انتشار 2011