Kevin and Shelly have a discussion on how obesity affects how we care for patients. Anesthetic considerations including airway, IV access, ventilation and others are discussed. Enjoy this informal investigation into the aspects of considerations of obesity in anesthetic care.
In less interesting news, on my really large folks with difficult to get IVs, i've resorted to using the arrow art line to place basilic IVs under ultrasound guidance. They're usually a little deeper than I'd like for the standard IV catheter or even the longer IV caths. But once I hit it, I can get the wire in the vessel and really get a solid IV there. They tend to blow less and are more stable from what I've seen. I've even resorted to placing a small Peds IJ catheter in the basilic on a few very large patients. Almost like a mini PICC and saves the central line set up when unnecessary.
Enjoying the podcast. Keep up the good work.
- Your friendly neighborhood ER doc