1. A 42-year-old woman, who has a BMI of 52 kg/m 2 , who suffers with diabetes, gastroesophageal…

1. A 42-year-old woman, who has a BMI of 52 kg/m2, who suffers with diabetes, gastroesophageal reflux disease (GERD), and arthritis, undergoes an uneventful Roux-en-Y gastric bypass (RYGB). Postoperatively she is diagnosed with aspiration and requires admission to the ICU for respiratory failure. However, the patient cannot be extubated for 24 hours after surgery. Identify the FALSE statement about mechanical ventilation of a postbariatric patient. A. Delivered tidal volume should be calculated based on IBW. B. A PEEP is more useful in an intubated obese patient than a nonobese patient. C. Reverse Trendelenberg position of 308 results in better oxygenation when compared to supine position. D. Tracheostomy has not been shown to have an increased complication rate in obese patients in any study.

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