Positioning for Intubation in Morbidly Obese PatientsZvara, David A. MD; Calicott, Randy W. MD; Whelan, Deborah M. MDAnesthesia & Analgesia: May 2006 - Volume 102 - Issue 5 - p 1592 doi: 10.1213/01.ANE.0000215164.12793.CD Letters to the Editor: Letters & Announcements Author Information Article Outline Department of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, NC, firstname.lastname@example.org To the Editor: References Back to Top | Article Outline To the Editor: Patient positioning in the obese patient is of critical importance when performing laryngoscopy. Brodsky et al. (1) report a series of 100 patients in which 99 were successfully tracheally intubated using an elevated head-up position (Fig. 1) (2). In this position, the shoulders are elevated with several pads, the head and neck are extended, and the external auditory meatus is in line with the sternal notch. We propose a modification of this position that achieves the same goals without application of the rolls under the patient's shoulders (Fig. 2). This modified position is commonly used in our hospital. Our positioning technique achieves the same relative patient orientation without the burden of placing the extra pads under the shoulders. This positioning is effective and saves the health care provider from the additional strain of moving the weight of these large patients. Figure 1 Figure 2 David A. Zvara, MD Randy W. Calicott, MD Deborah M. Whelan, MD Department of Anesthesiology Wake Forest University School of Medicine Winston-Salem, NC email@example.com Back to Top | Article Outline References1. Brodsky JB, Lemmens HJM, Brock-Utne JG, et al. Morbid obesity and tracheal intubation. Anesth Analg 2002;94:732–6. Cited Here... | View Full Text | PubMed | CrossRef 2. Brodsky JB, Lemmens HJ, Brock-Utne JG, et al. Anesthetic considerations for bariatric surgery: proper positioning is important for laryngoscopy. Anesth Analg 2003;96:1841a–2a. Cited Here... © 2006 International Anethesia Research Society Article Outline To the Editor: References Source Positioning for Intubation in Morbidly Obese Patients Anesthesia & Analgesia. 102(5):1592, May 2006. Full-Size Email + Favorites Export View in Gallery Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Anesthesia & Analgesia. Send a copy to your email Your message has been successfully sent to your colleague. Some error has occurred while processing your request. Please try after some time. Add Item(s) to: An Existing Folder A New Folder Folder Name: Description: The item(s) has been successfully added to "".