You are here

Article Text

Article menu
Download PDFPDF
CASE REPORT
Airway management concerns in patient with gastric banding procedures
  1. Jasper Koolwijk1,
  2. Marcel Schors1,
  3. Soufian el Bouazati1,2,
  4. Gerrit J Noordergraaf1
  1. 1Department of Anaesthesiology, St Elisabeth Hospital, Tilburg, The Netherlands
  2. 2Emergency Department, St Elisabeth Hospital, Tilburg, The Netherlands
  1. Correspondence to Jasper Koolwijk, j.koolwijk{at}elisabeth.nl

Summary

Laparoscopic adjustable gastric band (LAGB) is considered a relatively safe and effective treatment for obesity. Even after weight loss patients with LAGB are at increased risk of pulmonary aspiration during induction of general anaesthesia, possibly due to LAGB-induced anatomical and functional changes. We present a case of aspiration in a patient with LAGB following significant weight loss and 14 h of preoperative fasting and review the literature. In the presence of LAGB we propose specific anaesthesia management at least consisting of anti-Trendelenburg positioning; avoidance of mask-ventilation; use of the local rapid sequence induction strategy with endotracheal intubation and fully awake extubation.

https://doi.org/10.1136/bcr-2013-201009

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text