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Definitions:
Obese: BMI > 30kg/m2
Morbid obesity: BMI > 40kg/m2 or BMI >35kg/m2 with obesity related co-morbidities

Obesity and morbid obesity are increasing in prevalence and anaesthetists are becoming increasingly exposed to such patients.

This is a survey of your choice of airway management for routine general anaesthesia in a starved morbidly obese patient presenting for elective surgery with no anticipated or previous airway difficulties.
 
 
 
* Please tell us about your grade
 
Consultant
 
SAS
 
Trainee ST1-2 level
 
Trainee ST3-4 level
 
Trainee ST5-7 level
 
 
 
* The following questions concern general anaesthesia in a starved morbidly obese patient presenting for elective surgery with no anticipated or previous airway difficulties. They also have NO reflux disease.

Q1. Would you routinely perform a rapid sequence induction?
 
Yes
 
No
 
Depends on the type of surgery
 
 
Q2. What is your first choice ventilation method for the given airway device in this scenario. If you would not normally use this airway device in the given scenario please select N/A.
Spontaneous IPPV N/A
* ETT
* LMA
* Proseal LMA
 
 
Q3. Please select your first choice airway management for the given clinical scenario in the above mentioned patient
ETT LMA Proseal LMA
* Intra-abdominal procedure: e.g. hernia repair, hysterectomy
* Pelvic procedure: e.g. hysteroscopy, cystoscopy
* Extra-abdominal procedure: e.g. lower limb, lipoma excision
* If duration of surgery is < 1h
* If duration of surgery is 1-2h
* If duration of surgery is > 2h
* If patient position will be supine
* If patient position will be trendelenberg
* If patient position will be reverse-trendelenberg
* If patient position will be lateral
 
 
* The following questions concern general anaesthesia in a starved morbidly obese patient presenting for elective surgery with no anticipated or previous airway difficulties. They also have reflux disease.

Q4. Would you routinely perform a rapid sequence induction?
 
Yes
 
No
 
Depends on the type of surgery
 
 
Q5. What is your first choice ventilation method for the given airway device in this scenario. If you would not normally use this airway device in the given scenario please select N/A.
Spontaneous IPPV N/A
* ETT
* LMA
* Proseal LMA
 
 
Q6. Please select your first choice airway management for the given clinical scenario in the above mentioned patient
ETT LMA Proseal LMA
* Intra-abdominal procedure: e.g. hernia repair, hysterectomy
* Pelvic procedure: e.g. hysteroscopy, cystoscopy
* Extra-abdominal procedure: e.g. lower limb, lipoma excision
* If duration of surgery is < 1h
* If duration of surgery is 1-2h
* If duration of surgery is > 2h
* If patient position will be supine
* If patient position will be trendelenberg
* If patient position will be reverse-trendelenberg
* If patient position will be lateral
 
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