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Key Factors for Successful General Anesthesia of Obese Adult Patients

Larson, Fanny (author)
Anesthesia Unit, Piteå Hospital, Region Norrbotten, Piteå, Sweden
Nyström, Ingela (author)
Anesthesia Unit, Piteå Hospital, Region Norrbotten, Piteå, Sweden
Gustafsson, Silje (author)
Luleå tekniska universitet,Omvårdnad
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Engström, Åsa (author)
Luleå tekniska universitet,Omvårdnad
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 (creator_code:org_t)
Elsevier, 2019
2019
English.
In: Journal of Perianesthesia Nursing. - : Elsevier. - 1089-9472 .- 1532-8473. ; 34:5, s. 956-964
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

obesity
general anesthesia
anesthesiologic nursing
critical incident technique
Nursing
Omvårdnad

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ref (subject category)
art (subject category)

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Larson, Fanny
Nyström, Ingela
Gustafsson, Silj ...
Engström, Åsa
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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and Nursing
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Journal of Peria ...
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Luleå University of Technology

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