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Key Factors for Successful General Anesthesia of Obese Adult Patients.

Abstract

PURPOSE

To study nurse anesthetists' experiences of key factors for successful airway management in general anesthesia of adult obese patients.

DESIGN

The study was a qualitative observational study with a descriptive approach.

METHODS

Eight semistructured interviews were conducted. Data were analyzed using the critical incident technique.

FINDINGS

Five key factors for successful general anesthesia of adult obese patients were identified. These factors were preparing and planning the anesthesia, optimizing patient position, optimizing ventilation through proper preoxygenation and increasing positive end-expiratory pressure, quickly securing the airway, and working in teams.

CONCLUSIONS

Knowledge of key factors that facilitate and improve the anesthesia care of obese patients is important to provide safe and quality anesthesia to this patient group as obese patients often have small margins and urgent situations can quickly arise. This knowledge enables the nurse anesthetist to be one step ahead and to be ready to take action if complications occur.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31151885

Citation

Larson, Fanny, et al. "Key Factors for Successful General Anesthesia of Obese Adult Patients." Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 2019.
Larson F, Nyström I, Gustafsson S, et al. Key Factors for Successful General Anesthesia of Obese Adult Patients. J Perianesth Nurs. 2019.
Larson, F., Nyström, I., Gustafsson, S., & Engström, Å. (2019). Key Factors for Successful General Anesthesia of Obese Adult Patients. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, doi:10.1016/j.jopan.2019.01.009.
Larson F, et al. Key Factors for Successful General Anesthesia of Obese Adult Patients. J Perianesth Nurs. 2019 May 28; PubMed PMID: 31151885.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Key Factors for Successful General Anesthesia of Obese Adult Patients. AU - Larson,Fanny, AU - Nyström,Ingela, AU - Gustafsson,Silje, AU - Engström,Åsa, Y1 - 2019/05/28/ PY - 2018/11/06/received PY - 2019/01/07/revised PY - 2019/01/28/accepted PY - 2019/6/2/entrez KW - anesthesiologic nursing KW - critical incident technique KW - general anesthesia KW - obesity JF - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses JO - J. Perianesth. Nurs. N2 - PURPOSE: To study nurse anesthetists' experiences of key factors for successful airway management in general anesthesia of adult obese patients. DESIGN: The study was a qualitative observational study with a descriptive approach. METHODS: Eight semistructured interviews were conducted. Data were analyzed using the critical incident technique. FINDINGS: Five key factors for successful general anesthesia of adult obese patients were identified. These factors were preparing and planning the anesthesia, optimizing patient position, optimizing ventilation through proper preoxygenation and increasing positive end-expiratory pressure, quickly securing the airway, and working in teams. CONCLUSIONS: Knowledge of key factors that facilitate and improve the anesthesia care of obese patients is important to provide safe and quality anesthesia to this patient group as obese patients often have small margins and urgent situations can quickly arise. This knowledge enables the nurse anesthetist to be one step ahead and to be ready to take action if complications occur. SN - 1532-8473 UR - https://www.unboundmedicine.com/medline/citation/31151885/Key_Factors_for_Successful_General_Anesthesia_of_Obese_Adult_Patients L2 - https://linkinghub.elsevier.com/retrieve/pii/S1089-9472(19)30063-2 DB - PRIME DP - Unbound Medicine ER -