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Key Factors for Successful General Anesthesia of Obese Adult Patients
Anesthesia Unit, Piteå Hospital, Region Norrbotten, Piteå, Sweden.
Anesthesia Unit, Piteå Hospital, Region Norrbotten, Piteå, Sweden.
Luleå University of Technology, Department of Health Sciences, Nursing Care.ORCID iD: 0000-0001-8990-752x
Luleå University of Technology, Department of Health Sciences, Nursing Care.ORCID iD: 0000-0001-6244-6401
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 5, p. 956-964Article in journal (Refereed) Published
Abstract [en]

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

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 34, no 5, p. 956-964
Keywords [en]
obesity, general anesthesia, anesthesiologic nursing, critical incident technique
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-76231DOI: 10.1016/j.jopan.2019.01.009PubMedID: 31151885OAI: oai:DiVA.org:ltu-76231DiVA, id: diva2:1357343
Note

Validerad;2019;Nivå 2;2019-10-03 (johcin)

Available from: 2019-10-03 Created: 2019-10-03 Last updated: 2019-11-20Bibliographically approved

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Gustafsson, SiljeEngström, Åsa

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