23
Interview
Bariatric Times • February 2017
commonly associated with obesity,
including severe obstructive sleep
apnea treated with CPAP therapy.
Several hours postoperatively, she
suffered a near respiratory arrest,
which resulted in emergent
tracheotomy.
The complication may have been
prevented with an opioid-sparing,
multimodal analgesic strategy,
including thoracic epidural analgesia
for this open procedure.
Additionally, earlier communication
by PACU personnel when pain was
not
being effectively managed by
escalating doses of fentanyl and
morphine may have occurred if the
risks of opioids in this patient were
appreciated. These knowledge gaps
can
be filled with the material
contained in Essentials.
What else do readers need to
know about accessing and
using this resource?
Dr. Jones: The app is available
online at http://essentials.asmbs.org/
and also for free download in the
Apple App Store. While registration
is free, fees will apply should you
elect to redeem continuing
education credits. I encourage
readers to share the app with
everyone in practice.
REFERENCES
1. Cook TM, Woodall N, Frerk C;
Fourth National Audit Project.
Major complications of airway
management in the UK: results of
the Fourth National Audit Project
of the Royal College of
Anaesthetists and the Difficult
Airway Society. Part 1:
Anaesthesia. Br J Anaesth.
2011;106(5):617–631.
2. Cook TM, Woodall N, Harper J,
Benger J; Fourth National Audit
Project. Major complications of
airway management in the UK:
results of the Fourth National
Audit Project of the Royal College
of Anaesthetists and the Difficult
Airway Society. Part 2: intensive
care and emergency departments.
Br J Anaesth.
2011;106(5):632–642.
FUNDING: No funding was provided in the
preparation of this interview.
FINANCIAL DISCLOSURES: The author
reports no conflicts of interest relevant to
the content of this article.
ADDRESS FOR CORRESPONDENCE:
Dr. Stephanie Jones; E-mail:
sbjones@bidmc.harvard.edu
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