Abstract
A 40-year-old morbidly obese male, body mass index (BMI) 60, with complications including obstructive sleep apnea, hyperlipidemia, hypertension, and type II diabetes mellitus, is undergoing Roux-en-Y gastric bypass weight loss surgery. He has a large neck circumference and a Mallampati score of 3. Difficult intubation is anticipated, so the plan is to proceed with fiberoptic laryngoscopy. A near-infrared spectrometry (NIRS) cerebral oximeter is placed on the patient’s forehead to monitor cerebral venous saturation (rScO2); his baseline is 73 %. Peripheral intravenous lines are placed under ultrasound guidance.
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Porbunderwala, D. (2017). Should Cerebral Oximetry Be Employed in Morbidly Obese Patients Undergoing Bariatric Surgery?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_15
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DOI: https://doi.org/10.1007/978-3-319-43169-7_15
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