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This section of the website is for UK healthcare professionals only. If you are not a healthcare professional, please click here.

Challenges with NMB in Morbidly Obese Patients (UKAS 2019)

BRIDION Prescribing Information | ESMERON Prescribing Information

Length: 03:11

63% of UK adults in England are overweight (BMI > 25) or obese (BMI >30), with the prevalence of obesity among adults rising from 14.9% to 26.9% from 1993 to 2015.1

Of every 100 adults in England there are...
Graphic image: 2 under weight, 35 healthy weight, 36 over weight, 24 obese, 3 morbidly obese

from Public Health England1

Naturally, surgical teams are seeing the impact with an increase in bariatric surgeries which in turn brings its own challenges.

Why rNMB matters

  • Obese patients are almost 4-times as likely to experience a respiratory AE following surgery2
  • Obesity is associated with 30% greater chance of difficult or failed intubation3

 

Learn more about the impact of rNMB in obese patients

 

Dr John Cousins

Dr John Cousins, Consultant Anaesthetist at Imperial College Healthcare NHS Trust

In 2006 he became interested in bariatric surgery anaesthesia. Noting a shortfall in training opportunities he founded the Society for Obesity and Bariatric Anaesthesia SOBA UK in 2007/8. He has just passed the chairmanship of SOBA over to Jon Redman in 2019, but remains very much involved in the society.

He is passionate about making obesity anaesthesia simple and a transferable skill for all users, demystifying complex algorithms for routine use. A long history of enhancing collaboration between surgery and anaesthesia to drive efficiency and success.

References:

  1. https://www.gov.uk/government/publications/health-matters-obesity-and-the-food-environment/health-matters-obesity-and-the-food-environment--2 (Accessed August 19)
  2. Chung F, et al. Pre-existing medical conditions as predictors of adverse events in day-case surgery Br J Anaesth 1999;83:262–270.
  3. Nightingale CE, Peri‐operative management of the obese surgical patient et al. Anaesthesia 2015;70:859–876.

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