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Anaesthesia · Special anaesthesia: obstructive sleep apnoea
Sample itemWhich is the most appropriate approach to the airway of an obese patient with obstructive sleep apnoea?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Ramped position with pre-oxygenation and caution with opioids and sedatives
Ramping aligns the airway axes and improves FRC, and pre-oxygenation extends safe apnoea time. These patients are sensitive to opioids and sedatives, so regional techniques and opioid-sparing analgesia are preferred.
Option by option
A. Lie flat during induction
Lying flat worsens oxygenation.
B. Heavy sedation premedication
Sedatives risk airway obstruction.
C. Ramped position with pre-oxygenation and caution with opioids and sedatives (correct)
Correct. Ramping and caution with sedatives are standard.
D. Avoid pre-oxygenation
Pre-oxygenation is essential.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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