SCCM Resource Library-Help Me, I Can't Breathe: Special Considerations With Intubation, Ventilation, and Weaning the Trauma Patient With Severe Obesity

Help Me, I Can't Breathe: Special Considerations With Intubation, Ventilation, and Weaning the Trauma Patient With Severe Obesity

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Video Transcription

Video Summary

In this video, Rich Branson, a respiratory therapist, discusses the differences in respiratory mechanics associated with obesity and the challenges of managing obese patients during intubation and extubation. He highlights that obesity has a significant impact on respiratory function, increasing the work of breathing and reducing gas exchange. Obese patients are also at a higher risk for complications during intubation and have a higher risk of extubation failure. Branson discusses various strategies for managing intubation in obese subjects, including the use of high-flow nasal cannula and recruitment maneuvers. He also suggests considering factors such as obesity hypoventilation syndrome and sleep apnea when making decisions about patient care. Additionally, he emphasizes the importance of using appropriate PEEP levels and heated humidification during non-invasive ventilation in post-extubation obese patients to reduce the risk of re-intubation.

Asset Subtitle

Pulmonary, GI and Nutrition, 2023

Asset Caption

Type: two-hour concurrent | Trauma Strategies: Patients With Severe Obesity in the ICU (SessionID 1227137)

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Area GI and Nutrition

Membership Level Professional

Membership Level Select

Tag Airway Management

Tag Obesity

Year 2023

Keywords

obesity

respiratory mechanics

intubation

extubation

gas exchange

patient care

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