Managing Bariatric Airways - DAS, SOBA, OAA and RCoA joint webinar

We were delighted to join with the Difficult Airway Society (DAS), Obstetric Anaesthetist’s Association (OAA) and Society for Obesity and Bariatric Anaesthesia (SOBA) for a webinar on airway management in patients with obesity – a subject of relevance to all of our members. 

In this recording you will here from the panel on the themes of,  airway management in patients with obesity including, preparation and preoxygenation, obstetric Challenges, ATI and other options for airway management and extubation and recovery.


Dr Gunjeet Dua, Consultant Anaesthetist, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; RCoA Clinical Content Lead for Webinars & DAS Education Co-lead

Dr Moon-Moon Majumdar, ST5 Anaesthetic Trainee, Imperial School of Anaesthesia, London, UK; DAS Trainee Rep


  • Dr Imran Ahmad, Consultant Anaesthetist, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; DAS President 
  • Dr Nuala Lucas, Consultant Anaesthetist, Northwick Park Hospital, London, UK; OAA Honorary Secretary
  • Dr Andrew McKechnie, Consultant Anaesthetist, Lewisham and Greenwich NHS Trust, London, UK; SOBA UK President
  • Dr Becky Black, Consultant Anaesthetist, University College London Hospitals, London, UK; SOBA UK Secretary  


Further Reading:

  • Shaw M, Waiting J, Barraclough L, Ting K, Jeans J, Black B; Pan-London Peri-operative Audit and Research Network. Airway events in obese vs. non-obese elective surgical patients: a cross-sectional observational study. Anaesthesia. 2021 Dec;76(12):1585-1592. doi: 10.1111/anae.15513. Epub 2021 Jun 22. PMID: 34156711. - link here
  • Cumberworth A, Lewith H, Sud A, Jefferson H, Athanassoglou V, Pandit JJ. Major complications of airway management: a prospective multicentre observational study. Anaesthesia. 2022 Mar 7. doi: 10.1111/anae.15668. Epub ahead of print. PMID: 35254669. - link here
  • Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics. Anesthesiology. 2009 Apr;110(4):891-7. doi: 10.1097/ALN.0b013e31819b5b87. PMID: 19293691. - link here
  • Moon TS, Fox PE, Somasundaram A, Minhajuddin A, Gonzales MX, Pak TJ, Ogunnaike B. The influence of morbid obesity on difficult intubation and difficult mask ventilation. J Anesth. 2019 Feb;33(1):96-102. doi: 10.1007/s00540-018-2592-7. Epub 2019 Jan 8. PMID: 30617589. - link here
  • Lundstrøm LH, Møller AM, Rosenstock C, Astrup G, Wetterslev J. High body mass index is a weak predictor for difficult and failed tracheal intubation: a cohort study of 91,332 consecutive patients scheduled for direct laryngoscopy registered in the Danish Anesthesia Database. Anesthesiology. 2009 Feb;110(2):266-74. doi: 10.1097/ALN.0b013e318194cac8. PMID: 19194154. - link here
  • Schutzer-Weissmann J, Wojcikiewicz T, Karmali A, Lukosiute A, Sun R, Kanji R, Ahmed AR, Purkayastha S, Brett SJ, Cousins J. Apnoeic oxygenation in morbid obesity: a randomised controlled trial comparing facemask and high-flow nasal oxygen delivery. Br J Anaesth. 2022 Jan 11:S0007-0912(21)00800-X. doi: 10.1016/j.bja.2021.12.011. Epub ahead of print. PMID: 35027169. - link here
  • Stolady D, Laviola M, Pillai A, Hardman JG. Effect of variable pre-oxygenation endpoints on safe apnoea time using high flow nasal oxygen for women in labour: a modelling investigation. Br J Anaesth. 2021 Apr;126(4):889-895. doi: 10.1016/j.bja.2020.12.031. Epub 2021 Feb 3. PMID: 33549319; PMCID: PMC8132878. - link here
  • Shippam W, Preston R, Douglas J, Taylor J, Albert A, Chau A. High-flow nasal oxygen vs. standard flow-rate facemask pre-oxygenation in pregnant patients: a randomised physiological study. Anaesthesia. 2019 Apr;74(4):450-456. doi: 10.1111/anae.14567. Epub 2019 Jan 20. PMID: 30663038. - link here
  • Zhou S, Zhou Y, Cao X, Ni X, Du W, Xu Z, Liu Z. The efficacy of high flow nasal oxygenation for maintaining maternal oxygenation during rapid sequence induction in pregnancy: A prospective randomised clinical trial. Eur J Anaesthesiol. 2021 Oct 1;38(10):1052-1058. doi: 10.1097/EJA.0000000000001395. PMID: 33259452 - link here
  • Howle R, Onwochei D, Harrison SL, Desai N. Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis. Can J Anaesth. 2021 Apr;68(4):546-565. English. doi: 10.1007/s12630-020-01908-w. Epub 2021 Jan 12. PMID: 33438172. - link here
  • Klein AA, Meek T, Allcock E, Cook TM, Mincher N, Morris C, Nimmo AF, Pandit JJ, Pawa A, Rodney G, Sheraton T, Young P. Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists. Anaesthesia. 2021 Sep;76(9):1212-1223. doi: 10.1111/anae.15501. Epub 2021 May 20. PMID: 34013531. - link here
  • AoA and SOBA guidelines on Perioperative management of the obese surgical patient 2015 - link here
  • #JanuAIRWAY "Day 28 - The Bariatric Airway" - link here
  • #JanuAIRWAY - The Compilation - link here
  • SOBA consent guidelines - link here
  • SOBA Anaesthesia in the obese patient - link here