Evidence map›Paper›PMID 40468902›Full record

GuidelineAnaesthesia2025

Airway management in patients living with obesity: best practice recommendations from the Society for Obesity and Bariatric Anaesthesia: Endorsed by the All Wales Airway Group, Scottish Airway Group and Difficult Airway Society.

Andrew McKechnie, Helen A Iliff, Rebecca Black, Imran Ahmad, Angela Chesworth, Paul Chesworth, Nordene Davis, Catherine Griffiths

Abstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Ten tips for a safe approach in airway management.Journal of anesthesia, analgesia and critical care · 2026
    Review
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrew McKechnieLewisham and Greenwich NHS Trust, London, UK.
Helen A IliffDepartment of Anaesthesia, Swansea Bay University Health Board, Swansea, UK.ORCID 0000-0002-3468-2199
Rebecca BlackDepartment of Anaesthesia, University College London Hospitals, London, UK.
Imran AhmadDepartment of Anaesthesia and Perioperative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0003-3675-7040
Angela ChesworthDumfries, UK.
Paul ChesworthDumfries, UK.
Nordene DavisUniversity College London Hospitals, London, UK.
Catherine GriffithsThe Grange University Hospital, Aneurin Bevan University Health Board, Cwmbran, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients living with obesity present specific challenges for airway management. They have been overrepresented repeatedly in studies looking at complications associated with airway management. Whilst generic airway guidelines offer assistance, there are no evidence-based guidelines specific to this group of patients to support safe and effective airway management.

methodsAn expert multidisciplinary working party was convened on behalf of the Society of Obesity and Bariatric Anaesthesia to conduct this work. A systematic review was performed and was followed by a three-round Delphi process.

resultsForty-three recommendations are made which cover a number of key areas of practice including: pre-assessment; planning; peroxygenation; tracheal intubation; supraglottic airway devices; tracheal extubation; training; and organisational responsibilities. DISCUSSION: It is hoped the recommendations made will improve the safety and efficacy of airway management in patients living with obesity. They are not intended to replace current airway management guidelines.

Indexed as

Airway ManagementObesityAirway ExtubationAnesthesiaBariatric SurgeryDelphi TechniqueHumansIntubation, IntratrachealSocieties, Medicalairwayguidelinesobesitytracheal intubation

Identifiers

PMID40468902
PMCPMC12351209

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.