Airway obstruction/management in the PACU

A morbidly obese female s/p gastric bypass is now desaturating into the mid 80's in the PACU.   She was intubated awake initially due to her airway anatomy.
(note, all residents should have access to Anesthesiology articles online if they receive the journal.  Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)
  1. Benumof JL.  Obstructive sleep apnea in the adult obese patient: implications for airway management. Anesthesiol Clin North America. 2002 Dec;20(4):789-811.
  2. ASA Practice Guidelines for Management of the Difficult Airway (pdf file)
  3. Rosenblatt W, Whipple J.  The Difficult Airway Algorithm of the American Society of Anesthesiologists. Anesth Analg 2003;96:1233 (Editorial that kinda simplifies it -- pdf file)

Last updated 6/12/03 by Roy G. Soto, M.D.
© 2003, Roy G. Soto, M.D., and the University of South Florida College of Medicine, Department of Anesthesiology