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Feasibility of Prone Emergence From General Anesthesia in Patients With Obesity Undergoing Endoscopic Retrograde
Yang-Yang Xia1, Zhi-Yu Yin1, Li-Ming Yang1
1Department of Anesthesiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Purpose:
Prone emergence following general endotracheal anesthesia in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) is an effective method to reduce extubation-related adverse events (ERAEs). However, due to airway management concerns, this approach is typically not used for obese patients. This study aimed to evaluate the safety and feasibility of prone extubation in obese patients undergoing ERCP with general endotracheal anesthesia.
Design:
Descriptive research design.
Methods:
In this case series, 15 inpatients with a body mass index greater than or equal to 30 underwent ERCP and underwent prone emergence following general endotracheal anesthesia. The incidence of ERAEs, as well as changes in heart rate and blood pressure, was recorded during the emergence period.
Findings:
All 15 patients successfully underwent emergence in the prone position. Two patients experienced ERAEs, both involving moderate cough. None of the patients exhibited significant fluctuations in heart rate or mean arterial pressure following extubation.
Conclusions:
Prone emergence from general endotracheal anesthesia appears to be a safe and feasible approach for patients with obesity undergoing ERCP.
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