Re:Intubation Risks post-op

October 25, 2000

Hi, everyone! I just read on the AMOS board that those with

WLS (although they didn't specify the surgery) should NOT ever

be intubated. The staple line could rupture. I know with d/s

we don't have a pouch, but I think the stomach is closed with

staples (especially in the laparoscopic procedure). The person

mentioned getting a medic alert bracelet so medics could realize

this in an emergency. Since we were talking about medic alert bracelets

here, is that a potential problem in the future for d/sers in the

event of an accident, etc?

all the best,

pre-op: Initial consult with Dr. Gagner, NYC Nov 15

October 26, 2000

, Intubation is not an optional procedure. Generally speaking if you

need to be intubated, you are facing death. The exception is for surgery,

but in that case the choice is be intubated or don't have the operation.

period. When you are intubated they use an ET tube - that is endo tracheal

tube. It goes from your nose or your mouth into your trachea - not your

esophagus. Your trachea connects to your lungs - your esophagus connects to

your stomach. An RNY or VBG might want to avoid an NG tube - nasogastric

tube, which does go into the stomach and might interfer with their pouch, but

we D/Sers are ok with that too.

I think the person on the AMOS site was confused - an ET tube is only

about 10 inches long and couldn't reach the stomach if they tried. I'm

through with my lecture now but will be glad to speak to students after class

if there are any further questions.....

W

Pre -op Dr.

waiting for ins approval - Prudential POS

5'5'' 301 - BMI 51

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