ABSTRACT

INTRODUCTION The increasing prevalence of obesity has led to an increase in the number of anesthetics performed in overweight and obese patients. There are numerous physiologic considerations associated with the administration of general anesthesia to patients with increased BMI. Some areas of concerns include:

Airway A recent meta-analysis revealed a two to three times higher rate of difficult laryngoscopy in the obese compared to the lean patient. This despite optimal positioning (1) .