The challenging airway is a crucial aspect of anesthesia management, especially with the increasing prevalence of obesity. The evaluation and identification of a difficult airway is essential. Obesity does not always equate to a difficult airway, but it can complicate airway management. Factors like obstructive sleep apnea (OSA) can increase the challenge. Various methods can be used to evaluate obesity, such as BMI and neck circumference. Preanesthesia evaluation is crucial, and alternative airway management plans should be devised. Techniques like supraglottic devices and video laryngoscopy can aid in airway management in obese patients. Positioning, preoxygenation, and flow-controlled ventilation are essential strategies for successful airway management in obese patients.
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