Key Factors for Successful General Anesthesia of Obese Adult Patients

Document identifier: oai:DiVA.org:ltu-76231
Access full text here:10.1016/j.jopan.2019.01.009
Keyword: Medical and Health Sciences, Health Sciences, Nursing, Medicin och hälsovetenskap, Hälsovetenskaper, Omvårdnad, Obesity, General anesthesia, Anesthesiologic nursing, Critical incident technique
Publication year: 2019
Relevant Sustainable Development Goals (SDGs):
SDG 3 Good health and wellbeing
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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.

DOI:10.1016/j.jopan.2019.01.009

Authors

Fanny Larson

Anesthesia Unit, Piteå Hospital, Region Norrbotten, Piteå, Sweden
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Ingela Nyström

Anesthesia Unit, Piteå Hospital, Region Norrbotten, Piteå, Sweden
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Silje Gustafsson

Luleå tekniska universitet; Omvårdnad
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Åsa Engström

Luleå tekniska universitet; Omvårdnad
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