Next week I am going to anesthetize an obese female for an endoscopic combined intra-renal surgery.
She is 160cm tall and 142 kg. No others medical issues. She denied OSAS (STOpBang QUESTIONNAIRE LESS THAN THREE). Any previous surgery and so no history about diffucult facemask ventilation and/or laryngoscopy.
She was scheduled 2 weeks ago but I decided to postpone her surgery because of the lack of beds in ICU and, I think, most importatly, the absence of a recovery area in my current hospital. I was scared about extubation, to be honest.
My 1st question is: how do you procede in managing her airway? Is it appropriate to put her to sleep, taken for granted preoxygenation/CPAP, and try with facemask ventilation and so on? Or is it better to start with an Awake FOB due to the fact that in this hospital we have a bronchoscopist available?
2nd: was it sensible to postpone the surgery?