Anesthetic drugs & techniques

Evaluation of induction practices for general anesthesia in patients with obesity: A French nationwide online survey

J Clin AnesthPublished Cross-sectional study

Authors' conclusion

This nationwide survey highlights substantial variability in anesthetic induction practices for patients with obesity, reflecting the absence of consensus.

Study context

Population
French anesthesiologists, May–December 2024, on induction of GA in patients with obesity652 analysed
Participants
665 participants
Exposure
RSI vs conventional induction, as reported by participants
Outcome
Anesthetic induction practices in patients with obesity, and influence of BMI and obesity-related comorbidities on the decision for or against RSI
Methodological detailsnationwide, anonymous online declarative survey, standardized theoretical clinical scenarios
  • Nationwide
  • Anonymous online declarative survey
  • Standardized theoretical clinical scenarios

Main finding

As reported in the abstract

Would not perform RSI at BMI 43 kg/m²
57%
Regarded BMI ≥40 kg/m² as appropriate threshold for RSI
33%
Did not define any specific BMI threshold
24%
Anesthesiologist experience associated with choice of induction sequence
p = 0.003

Observational data: associations, not effects.

Further findings

NMBA dose calculation

Used total body weight for non-depolarizing agents
28%
  • Considerable heterogeneity

Apneic oxygenation

Never used apneic oxygenation
32%
  • Underused

Original publication

Evaluation of induction practices for general anesthesia in patients with obesity: A French nationwide online survey. J Clin Anesth. Published 11 February 2026. doi:10.1016/j.jclinane.2026.112147

Composed by AI from the published abstract and checked against it. How Briefs are made →

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