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Should Cerebral Oximetry Be Employed in Morbidly Obese Patients Undergoing Bariatric Surgery?

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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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References

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, New York University Langone Medical Center, 550 First Avenue, New York, New York, 10016, USA

    David Porbunderwala

Authors
  1. David Porbunderwala
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Corresponding author

Correspondence to David Porbunderwala .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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