MedBugs: SAQ #203

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Case: RSI in morbid obesity

A 32-year-old man with pneumonia requires intubation. He is morbidly obese with BMI 42, actual weight 130 kg and ideal body weight 70 kg.

1. With relevance to RSI, list three physiological effects of obesity on the respiratory system and two physiological effects on other organ systems. 5 marks

2. Provide the appropriate dose or volume for the listed interventions. 5 marks

3. Outline five strategies to improve the safety of endotracheal intubation for all ED patients. 5 marks

4. After successful intubation, list three interventions to decrease the risk of ventilator-associated pneumonia. 3 marks

5. How do we ventilate these patients? 3 marks

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Case: RSI in morbid obesity

1. With relevance to RSI, list three physiological effects of obesity on the respiratory system and two physiological effects on other organ systems. 5 marks

2. Provide the appropriate dose or volume for the listed interventions. 5 marks

3. Outline five strategies to improve the safety of endotracheal intubation for all ED patients. 5 marks

4. After successful intubation, list three interventions to decrease the risk of ventilator-associated pneumonia. 3 marks

5. How do we ventilate these patients? 3 marks

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