Apneic Oxygenation During Prolonged Laryngoscopy in Obese Patients: a Randomized, Double-Blinded, Controlled Trial of Nasal Cannula Oxygen Administration.


BACKGROUND:Obese patients have a propensity to desaturate during induction of general anesthesia secondary to their reduced functional residual capacity and increased oxygen consumption. Apneic oxygenation can provide supplemental oxygen to the alveoli, even in the absence of ventilation, during attempts to secure the airway. In this study, we hypothesized that oxygen administration through a nasopharyngeal airway and standard nasal cannula during a simulated prolonged laryngoscopy would significantly prolong the safe apneic duration in obese patients. METHODS:One hundred thirty-five obese patients undergoing non-emergent surgery requiring general anesthesia were randomized to either the control group or to receive apneic oxygenation with air versus oxygen. All patients underwent a standard intravenous induction. For patients randomized to receive apneic oxygenation, a nasopharyngeal airway and standard nasal cannula were inserted. A simulated prolonged laryngoscopy was performed to determine the duration of the safe apneic period, defined as the beginning of laryngoscopy until the peripheral oxygen saturation (SpO2) reached 95%. RESULTS:The oxygen group had a median safe apneic duration that was 103 s longer than the control group. The lowest mean SpO2 value during the induction period was 3.8% higher in the oxygen group compared to the control group. Following intubation, patients in the oxygen group had a mean end tidal carbon dioxide (ETCO2) level that was 3.0 mmHg higher than patients in the control group. CONCLUSIONS:In obese patients, oxygen insufflation at 15 L/min through a nasopharyngeal airway and standard nasal cannula can significantly increase the safe apneic duration during induction of anesthesia.


Obes Surg


Obesity surgery


Moon TS,Tai K,Kim A,Gonzales MX,Lu R,Pak T,Smith K,Chen JL,Minhajuddin AT,Nnamani N,Fox PE,Ogunnaike B




Has Abstract


2019-12-01 00:00:00














  • Food Intolerance 1 Year After Banded Roux-En-Y Gastric Bypass.

    abstract::The purpose of this study is to evaluate the food intolerance after banded Roux-en-Y gastric bypass (RYGB), correlating the data of food ingestion. METHODS: This is an observational prospective study, which evaluated the individuals before and 3, 6, and 12 months after banded RYGB. We performed an anthropometric evalu...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Gobato RC,Cazzo E,Baltieri L,Modena DAO,Chaim EA

    更新日期:2019-02-01 00:00:00

  • Laparotomic vs laparoscopic lap-band: 4-year results with early and intermediate complications.

    abstract:BACKGROUND:Adjustable banding is safe, low invasive, and effective for losing weight. METHODS:69 patients underwent this procedure by laparotomy or laparoscopy. RESULTS:Patients operated by laparotomy lost more weight than those operated by laparoscopy, but in 4 patients we were forced to re-operate in order to remov...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: De Luca M,de Werra C,Formato A,Formisano C,Loffredo A,Naddeo M,Forestieri P

    更新日期:2000-06-01 00:00:00

  • Quality of Life and Bariatric Surgery: Cross-Sectional Study and Analysis of Factors Influencing Outcome.

    abstract:PURPOSE:The aims of our study were to compare quality of life (QOL) in obese patients after bariatric surgery with that in controls seeking surgery and to investigate which factors are associated with QOL in the Moorehead-Ardelt Quality of Life Questionnaire II (MA II). MATERIALS AND METHODS:This was a cross-sectional...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Janik MR,Rogula T,Bielecka I,Kwiatkowski A,Paśnik K

    更新日期:2016-12-01 00:00:00

  • Clinical effectiveness of exenatide in diabetic patients waiting for bariatric surgery.

    abstract:BACKGROUND:Bariatric surgery constitutes the most effective treatment for severely obese type 2 diabetic patients. Exenatide is a glucagon-like peptide 1 receptor agonist that can improve glycemic control and cause weight loss in patients with type 2 diabetes. Clinical experience with exenatide in obese patients with t...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章


    authors: Iglesias P,Civantos S,Vega B,Pavón I,Guijarro G,Monereo S

    更新日期:2015-03-01 00:00:00

  • Anesthetic management of morbidly obese and super-morbidly obese patients undergoing bariatric operations: hospital course and outcomes.

    abstract:BACKGROUND:Although the implications for the anesthetic and perioperative care of severely obese patients undergoing weight loss operations are considerable, current anesthetic management of super-obese (SO) patients (BMI > or =50 kg/m(2)), including super-super-obese (BMI > or =60) derives from experience with morbidl...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Leykin Y,Pellis T,Del Mestro E,Marzano B,Fanti G,Brodsky JB

    更新日期:2006-12-01 00:00:00

  • Gastro-clip gastroplasty: a very long-term complication.

    abstract::For most surgeons, the gastro-clip gastroplasty is an unfamiliar operation. It was performed during the mid 1980s as an alternative to more complex bariatric operations. However, the device had problems. Because of its rigid nature, it occasionally eroded into the stomach and chest. Many of these devices required remo...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Chang CG,Provost DA

    更新日期:2004-01-01 00:00:00

  • Severe Compulsive Overeating: how to obtain a more accurate history through non-shaming, non-blaming interview techniques.

    abstract::The ability to obtain accurate histories for a comparative study of compulsive overeating and alcoholism was severely compromised by the high degree of denial, shame and self-blame present in these two overlapping disease entities. Areas of overlap included similar progression of the disease, familial tendencies, and ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Wittig VR,Wittig JH

    更新日期:1993-02-01 00:00:00

  • Does Robotic Roux-en-Y Gastric Bypass Provide Outcome Advantages over Standard Laparoscopic Approaches?

    abstract:OBJECTIVE:The aim was to compare clinical outcomes of patients treated with totally robotic Roux-en-Y gastric bypass (TRRYGB) with those treated with the different laparoscopic Roux-en-Y gastric bypass (LRYGB) techniques. The clinical benefit of the robotic approach to bariatric surgery compared to the standard laparos...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Rogula T,Koprivanac M,Janik MR,Petrosky JA,Nowacki AS,Dombrowska A,Kroh M,Brethauer S,Aminian A,Schauer P

    更新日期:2018-09-01 00:00:00

  • Short-term outcomes of laparoscopic gastric plication in morbidly obese patients: importance of postoperative follow-up.

    abstract::Demand for feasible, safe, and preferably low-cost methods of weight reduction is rising every day. The present study reports findings from laparoscopic gastric plication (LGP), which is a new restrictive bariatric technique, combined with a postoperative follow-up program. A 2-year prospective study was performed fol...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Niazi M,Maleki AR,Talebpour M

    更新日期:2013-01-01 00:00:00

  • Comparison of nutritional deficiencies after Roux-en-Y gastric bypass and after biliopancreatic diversion with Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Patients undergoing either Roux-en-Y gastric bypass (RYGBP) or biliopancreatic diversion (BPD) with RYGBP are at risk of developing metabolic sequelae secondary to malabsorption. We compared the differences in nutritional complications between these two bariatric operations. METHODS:A retrospective analysis...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Skroubis G,Sakellaropoulos G,Pouggouras K,Mead N,Nikiforidis G,Kalfarentzos F

    更新日期:2002-08-01 00:00:00

  • A technique for prevention of port complications after laparoscopic adjustable silicone gastric banding.

    abstract:BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Fabry H,Van Hee R,Hendrickx L,Totté E

    更新日期:2002-04-01 00:00:00

  • Multicenter, Phase 1, Open Prospective Trial of Gastric Electrical Stimulation for the Treatment of Obesity: First-in-Human Results with a Novel Implantable System.

    abstract:BACKGROUND AND AIMS:To assess safety of the Exilis™ gastric electrical stimulation (GES) system and to investigate whether the settings can be adjusted for comfortable chronic use in subjects with morbid obesity. Gastric emptying and motility and meal intake were evaluated. METHOD:In a multicenter, phase 1, open prosp...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Paulus GF,van Avesaat M,van Rijn S,Alleleyn AME,Swain JM,Abell TL,Williams DB,Bouvy ND,Masclee AAM

    更新日期:2020-05-01 00:00:00

  • Predicting outcomes of intermediate term complications and revisional surgery following laparoscopic adjustable gastric banding: utility of the CORE classification and Melbourne motility criteria.

    abstract:BACKGROUND:Patients with laparoscopic adjustable gastric bands (LAGB) present at times with adverse symptoms or unsatisfactory weight loss, where a liquid contrast swallow or upper gastrointestinal endoscopy is not diagnostic. Stress barium and high resolution manometry are promising investigations, however, have not y...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Burton PR,Brown WA,Laurie C,Hebbard G,O'Brien PE

    更新日期:2010-11-01 00:00:00

  • Gastroesophageal Reflux and Laparoscopic Sleeve Gastrectomy: Results of the First International Consensus Conference.

    abstract:BACKGROUND:Gastroesophageal reflux disease (GERD) is probably the main drawback of laparoscopic sleeve gastrectomy (LSG). Herein, we critically discuss the issue and report the results of the first international consensus conference held in Montpellier, France, during June 2019. METHODS:Fifty international bariatric e...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Assalia A,Gagner M,Nedelcu M,Ramos AC,Nocca D

    更新日期:2020-10-01 00:00:00

  • Clinical Outcomes of Laparoscopic Greater Curvature Plication and Laparoscopic Sleeve Gastrectomy: a Case-Matched Control Study.

    abstract:BACKGROUND:Laparoscopic greater curvature plication (LGCP) is a new bariatric procedure that is similar to laparoscopic sleeve gastrectomy (LSG) in that it uses a restrictive mechanism. Comparative studies between LGCP and LSG were still limited. The aim of this study was to compare the clinical outcomes of the two pro...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Li YH,Wang BY,Huang YC,Tsao LC,Chan CP,Huang CY,Chang HC

    更新日期:2019-02-01 00:00:00

  • Prevalence of endocrine diseases in morbidly obese patients scheduled for bariatric surgery: beyond diabetes.

    abstract:BACKGROUND:Bariatric surgery allows stable body weight reduction in morbidly obese patients. In presurgical evaluation, obesity-related co-morbidities must be considered, and a multidisciplinary approach is recommended. Precise guidelines concerning the endocrinological evaluation to be performed before surgery are not...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Fierabracci P,Pinchera A,Martinelli S,Scartabelli G,Salvetti G,Giannetti M,Pucci A,Galli G,Ricco I,Querci G,Rago T,Di Salvo C,Anselmino M,Vitti P,Santini F

    更新日期:2011-01-01 00:00:00

  • Duodenal-Jejunal Bypass Liner (DJBL) Improves Cardiovascular Risk Biomarkers and Predicted 4-Year Risk of Major CV Events in Patients with Type 2 Diabetes and Metabolic Syndrome.

    abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) represents a novel endoscopic minimally invasive treatment option for obesity-associated type 2 diabetes (T2D), affecting body weight and metabolic control. Until now, the effects of DJBL on cardiovascular risk have never been investigated. METHODS:Between 2012 and 2...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Roehlen N,Laubner K,Bettinger D,Schwacha H,Hilger H,Koenig C,Grueninger D,Krebs A,Seufert J

    更新日期:2020-04-01 00:00:00

  • Improvement of weight loss and metabolic effects of vertical banded gastroplasty by an added duodenal switch procedure.

    abstract:BACKGROUND:Some patients who underwent vertical banded gastroplasty (VBG) need revisional operations because of poor weight loss and remaining comorbidities. The duodenal switch (DS) procedure with partial gastrectomy is known as an effective method for treatment of severe obesity and related dyslipoproteinemias and di...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Yashkov YI,Oppel TA,Shishlo LA,Vinnitsky LI

    更新日期:2001-10-01 00:00:00

  • Gastric cancer after Roux-en-Y gastric bypass.

    abstract::Roux-en-Y gastric bypass (RYGBP) is one of the most commonly performed surgical procedures for morbid obesity. Several complications that may develop in the short- and long-term have been reported. We present a patient who presented with cancer in the bypassed stomach 8 years after RYGBP. Although the development of t...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Escalona A,Guzmán S,Ibáñez L,Meneses L,Huete A,Solar A

    更新日期:2005-03-01 00:00:00

  • Sixth Time Bariatric-Related Surgery for Intractable Nausea, Vomiting, Abdominal Pain, Diarrhea and Weight Loss Failure.

    abstract::A 42-year-old patient with a sixth bariatric-related surgical procedure is presented. The steps taken for the management of her intractable nausea, vomiting, abdominal pain, unacceptable weight loss and diarrhea are described, together with the rationale therefor. Bariatric reoperative surgical procedure and outcome a...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Cowan GS Jr

    更新日期:1995-05-01 00:00:00

  • In Terms of Nutrition, the Most Suitable Method for Bariatric Surgery: Laparoscopic Sleeve Gastrectomy or Roux-en-Y Gastric Bypass? A Systematic Review and Meta-analysis.

    abstract::This study assesses the differences in postoperative nutritional status between laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). We searched the literature from PubMed, Web of Science, Embase, and the Cochrane Library database. Twenty-nine articles were included, with a total of...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Gu L,Fu R,Chen P,Du N,Chen S,Mao D,Chen B,Mao F,Khadaroo PA,Jin Q

    更新日期:2020-05-01 00:00:00

  • A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery.

    abstract:BACKGROUND:Exercise is a strong determinant of prolonged weight loss in non-surgical patients. Studies evaluating the impact of exercise beyond the first year after bariatric surgery are lacking. We analyzed the relationship between reported intentional exercise and medium-term weight loss following bariatric surgery. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Kerrigan DJ,Carlin AM,Munie S,Keteyian SJ

    更新日期:2018-12-01 00:00:00

  • Simultaneous gastric band removal and sleeve gastrectomy: a comparison with front-line sleeve gastrectomy.

    abstract::The placement of a gastric band (GB) prior to a sleeve gastrectomy (LSG) would increase postoperative complications, whether it is withdrawn or not at the time of the LSG. The purpose of this retrospective study was to evaluate and compare postoperative morbidity and outcome weight for simultaneous GB removal (RGB) an...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Rebibo L,Mensah E,Verhaeghe P,Dhahri A,Cosse C,Diouf M,Regimbeau JM

    更新日期:2012-09-01 00:00:00

  • Peripheral neuropathy and severe malnutrition following duodenal switch.

    abstract::Severe thiamine (vitamin B-1) deficiency is a medical emergency that has long been recognized as a potential complication of bariatric surgery. The incidence of this rare complication is largely unknown. We describe a super-obese male patient with extreme lower limb weakness 3 months following a duodenal switch operat...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Aasheim ET,Hofsø D,Hjelmesaeth J,Sandbu R

    更新日期:2008-12-01 00:00:00

  • CoViD-19 Pandemic and Bariatric Surgery in Argentina.

    abstract::Argentina was able to anticipate public health interventions in order to flatten the contagion curve of CoViD-19. Eighty-three surgeons answered an online survey to assess the impact of the pandemic on bariatric surgery (BS) in Argentina. Most of them showed a high economic dependence on BS. Near 90% of health institu...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Beskow AF,Martinez-Duartez PR,Behrens Estrada EJ,Fiolo FE,Ramos AC

    更新日期:2020-12-01 00:00:00

  • Upper Gastrointestinal Endoscopy prior to Bariatric Surgery-Mandatory or Expendable? An Analysis of 801 Cases.

    abstract:BACKGROUND:Upper gastrointestinal pathologies are common in bariatric patients. Preoperative esophagogastroduodenal endoscopy (EGD) should detect and treat pathologies that might alter the type of bariatric surgery. However, clinical consequences of these findings are often insignificant. The aim of this study was to a...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Wolter S,Duprée A,Miro J,Schroeder C,Jansen MI,Schulze-Zur-Wiesch C,Groth S,Izbicki J,Mann O,Busch P

    更新日期:2017-08-01 00:00:00

  • Gut hormones and leptin: impact on energy control and changes after bariatric surgery--what the future holds.

    abstract::Obesity is now considered the new world epidemic. In an attempt to face this menace to public health, several treatments, apart from the traditional nutritional modification and oral medication, have been introduced, among them bariatric surgery and gut hormone-based treatments. The gastrointestinal (GI) tract is a po...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Michalakis K,le Roux C

    更新日期:2012-10-01 00:00:00

  • HOMA, QUICKI and MFfm to measure insulin resistance in morbid obesity.

    abstract:BACKGROUND:The relationship between morbid obesity (MO) and insulin resistance (IR) has been widely demonstrated. The euglycemic-hyperglycemic clamp method for diagnosis of IR is neither practical nor cost-effective for population-based studies. However, the application of mathematical models (HOMA, QUICKI and Mf(fm) i...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Ruano M,Silvestre V,Castro R,García-Lescún MC,Aguirregoicoa E,Marco A,Rodríguez A,García-Blanch G

    更新日期:2006-05-01 00:00:00

  • How Effective Is the Quadruple Concomitant Helicobacter Pylori Eradication Therapy for Obese Patients Undergoing Gastric Bypass Surgery?

    abstract:AIMS AND METHODS:Our aim was to assess, in obese patients undergoing Roux-en Y gastric bypass surgery, the quadruple concomitant HP eradication rates at first line treatment as proposed by the Maastricht IV consensus in areas of high clarithromycin resistance rates-proton pump inhibitor bid, clarithromycin 500 mg bid, ...

    journal_title:Obesity surgery

    pub_type: 杂志文章


    authors: Cerqueira RM,Correia MR,Vilar H,Manso MC

    更新日期:2016-06-01 00:00:00

  • Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery.

    abstract:OBJECTIVE:Our aim was to conduct an up-to-date systematic review of randomised controlled trials (RCTs) to determine the benefits and harms of enhanced recovery after surgery (ERAS) programme in bariatric surgery. METHODS:MEDLINE, Embase, PubMed, CINAHL and the Cochrane Library were searched for RCTs on ERAS versus st...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审


    authors: Parisi A,Desiderio J,Cirocchi R,Trastulli S

    更新日期:2020-12-01 00:00:00