Question
| A. |
Trendelenburg |
| B. |
Reverse Trendelenburg |
| C. | Lithotomy |
| D. |
Jack-knife |
|
Correct Answer � B Explanation |
 |
Ans: B Reverse Trendelenburg
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A “rapid sequence induction” (RSI) has been a routine part of the anesthetic management of patients with morbid obesity.
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A RSI consists of the rapid administration of a quick acting anesthetic induction agent and a paralytic in order to intubate the trachea as quickly as possible.
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Head elevation beyond the sniffing position by raising the back and shoulders is known as the “head–elevated laryngoscopy position” (HELP) .
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It facilitates alignment of the pharyngeal, laryngeal, and oral axis of the airway during difficult laryngoscopy, especially in the large patient.
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Head elevation in the supine obese patient does not alone guarantee a proper SP.
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In this patient population, the anteroposterior diameter of the chest is increased so that it is almost impossible to obtain a neck flexion angle of 35° unless the shoulders and upper torso are also raised
