JOURNAL OF CLINICAL SURGERY ›› 2026, Vol. 34 ›› Issue (1): 38-41.doi: 10.3969/j.issn.1005-6483.20250886

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Interpretation of guidelines for airway management in patients living with obesity:best practice recommendations from the Society for Obesity and Bariatric Anaesthesia

ZHANG Jiamin,WANG Yun,MENG Zhaoting   

  1. Applied Anesthesiology and Surgery Center,Beijing Friendship Hospital, Capital Medical University,Beijing 100050,China
  • Received:2025-09-05 Online:2026-03-05 Published:2026-01-20

Abstract: Obesity greatly increases the risk of airway complications and makes airway management more difficult. In all existing guidelines,recommendations relating specifically to airway management in patients living with obesity are an addendum or subsection. There are no other recommendations specific to the airway management of patients living with obesity. In June 2025,the Society for Obesity and Bariatric Anaesthesia (SOBA) UK published the guidelines for airway management in patients living with obesity:best practice recommendations from the Society for Obesity and Bariatric Anaesthesia. The guideline provides recommendations for pre-operative assessment,planning,facemask ventilation and peroxygenation,tracheal intubation,supraglottic airway devices,tracheal extubation,organisational responsibilities and training and special circumstances,aimed at reducing the risks of airway management in obese patients and improving the prognosis.

Key words: obesity, airway management, intubation, guidelines

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