morbidly obese patients. While that number may be deceptive — many
say they simply don't treat morbidly obese patients — it does raise con-
cerns. "We follow anesthesia recommendations and have both an air-
way cart and an extra practitioner in the room for intubation and extu-
bation, if needed," says Melissa Weibel, BSN, CEO of the (Tamuning)
Guam Surgicenter.
That's important, says Dr. Sinha. "When things don't go according to
plan, an extra person may be able to see options the first person may not
think of." And the time to critical desaturation may be shorter, because
heavier patients tend to have smaller functional reserve capacity and high-
er metabolic demand.
Longer recoveries
O C T O B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 5 3
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