Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

Styletubation in Bariatric Surgery

Version 1 : Received: 20 June 2023 / Approved: 20 June 2023 / Online: 21 June 2023 (02:17:23 CEST)

A peer-reviewed article of this Preprint also exists.

Wu, B.-G.; Luk, H.-N.; Qu, J.Z.; Shikani, A. Styletubation in Bariatric Surgery: A Case Report. Healthcare 2023, 11, 2256. Wu, B.-G.; Luk, H.-N.; Qu, J.Z.; Shikani, A. Styletubation in Bariatric Surgery: A Case Report. Healthcare 2023, 11, 2256.

Abstract

Direct laryngoscope and videolaryngoscope are the dominant endotracheal intubation tools. Styletubation technique (using a video-assisted intubating stylet) has shown its advantages regarding in short intubation time, high success rate, less stimulation, and operator’s satisfaction. The learning curve can be steep but easy to overcome if the technical pitfalls could be avoided. Conditions make styletubation challenging include secretions/blood, short/stiff neck, restricted mouth opening and cervical spine mobility, anatomical abnormalities over head and neck regions, and obesity, etc. In this clinical report, we present the effectiveness and efficiency of routine use of the styletubation for tracheal intubation in a super-super obese patient (BMI 103 kg/m2) undergoing bariatric surgery with laparoscopic sleeve gastrectomy.

Keywords

Styletubation; video-assisted intubating stylet; obesity; super-super obesity; bariatric surgery; laparoscopic sleeve gastrectomy; tracheal intubation; laryngoscopy; videolaryngoscope; anesthesia; difficult airway

Subject

Medicine and Pharmacology, Anesthesiology and Pain Medicine

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