TY - CHAP M1 - Book, Section TI - Pharmacology of Intubation A1 - Wafa, Karim A1 - Bailey, Jonathan G. A1 - Hung, Orlando R. A2 - Hung, Orlando R. A2 - Murphy, Michael F. PY - 2024 T2 - Hung’s Management of the Difficult and Failed Airway, 4th Edition AB - A 41-year-old female with acute cholecystitis presents to the operating room (OR) for laparoscopic cholecystectomy. The patient’s medical history is significant for type II diabetes, gastroesophageal reflux disease, obesity (BMI 52 kg·m−2) and obstructive sleep apnea (OSA) with no surgical history. She has been using a continuous positive airway pressure machine regularly for the past 3 years and her serum glucose levels have been well controlled (A1C 6.5%). When asked, she endorsed symptoms of free reflux, waking her up in the night 3 to 4 times a week. She is on pantoprazole 40 mg PO once daily and has no allergies. She is alert and in no distress but has had multiple episodes of vomiting in the past 24 hours. Her last meal was over 24 hours ago. A focused cardiovascular and respiratory exam were unremarkable, and her vitals were all within normal limits. An airway exam was completed and showed a Mallampati class III, good mouth opening (>5 cm), good thyromental distance (6 cm), good mandibular protrusion, and normal neck extension. There were no missing, loose, or protruding teeth. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/10/15 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1202474570 ER -