{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:30:43Z","timestamp":1777944643602,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>This report describes the anaesthesia provided for a class III obese patient with obstructive sleep apnoea, undergoing an elective laparoscopic cholecystectomy. Several adaptations were required to provide safe anaesthesia. A McGrath video laryngoscopy was utilised for intubation. The patient was positioned in the ramped position, thereby increasing time to desaturation on induction of anaesthesia. Pressure controlled ventilation \u2013 volume guaranteed mode was selected for ventilation to provide consistent tidal volumes. An increased level of positive end-expiratory pressure was utilised to minimise atelectasis. Drug doses were carefully considered and calculated with the aid of The Society for Obesity and Bariatric Anaesthesia dose calculator. The airway management adaptations provided an unobstructed view for intubation. Peak airway pressures during surgery remained within safe limits and no atelectasis was evident postoperatively. Pain was kept under control and desaturation was avoided during postanaesthetic care. The patient was discharged home later that evening.<\/jats:p>","DOI":"10.1177\/17504589241270221","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T09:42:30Z","timestamp":1728553350000},"page":"407-411","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adapting general anaesthesia for a patient with class III obesity and obstructive sleep apnoea undergoing day case laparoscopic cholecystectomy: A case report"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0021-3844","authenticated-orcid":false,"given":"Bevan Michael","family":"Scott","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"},{"name":"Lancaster Medical School, Lancaster University, Lancaster, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-018-2493-9"},{"key":"e_1_3_2_3_1","unstructured":"Barker C 2023 Obesity statistics Available at: https:\/\/commonslibrary.parliament.uk\/research-briefings\/sn03336\/"},{"key":"e_1_3_2_4_1","first-page":"114","volume-title":"Perioperative Anesthetic Care of the Obese Patient","author":"Berra L","year":"2010","unstructured":"Berra L, Kimball WR 2010 Physiologic Changes with Pneumoperitoneum in the Obese Patient. In: Ortiz VE, Wiener-Kronish J (Eds) Perioperative Anesthetic Care of the Obese Patient Boca Raton, FL, CRC Press, pp. 114\u2013125"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aen067"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000040"},{"key":"e_1_3_2_7_1","unstructured":"Cook T Woodall N Frerk C 2011 Major complications of airway management in the United Kingdom: Report and findings (NAP4: 4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society) Available at: https:\/\/www.nationalauditprojects.org.uk\/downloads\/NAP4%20Full%20Report.pdf"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200506000-00009"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12588"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30438"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9730"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2017.11.008"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15989"},{"key":"e_1_3_2_14_1","volume-title":"Training in Anaesthesia \u2013 The Essential Curriculum","author":"Kiff K","year":"2010","unstructured":"Kiff K, Spoors C 2010 Training in Anaesthesia \u2013 The Essential Curriculum Oxford, Oxford University Press"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.4097\/kja.22268"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.335.13316"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13101"},{"issue":"8","key":"e_1_3_2_18_1","article-title":"Comparison of intra-operative pressure-controlled ventilation and volume-controlled ventilation in bariatric surgery: A prospective randomized study","volume":"13","author":"Sevdi MS","year":"2021","unstructured":"Sevdi MS, Demirgan S, Erkalp K, et al 2021 Comparison of intra-operative pressure-controlled ventilation and volume-controlled ventilation in bariatric surgery: A prospective randomized study Cureus 13 (8) e17567","journal-title":"Cureus"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkp018"},{"key":"e_1_3_2_20_1","unstructured":"Society for Obesity and Bariatric Anaesthesia (SOBA) 2023 SOBA single sheet guideline Available at: https:\/\/www.sobauk.co.uk\/_files\/ugd\/373d41_eebe369c3c6b4021bff6f3da059aa796.pdf"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-021-06394-9"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-019-1032-y"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu292"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjan.2019.09.003"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aef164"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2022.1032783"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-018-0534-4"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.94688"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589241270221","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17504589241270221","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589241270221","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:06:29Z","timestamp":1777709189000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17504589241270221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,10]]},"references-count":27,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/17504589241270221"],"URL":"https:\/\/doi.org\/10.1177\/17504589241270221","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,10]]}}}