The patient with obesity and super-super obesity : Perioperative anesthetic considerations

Copyright: © 2022 Saudi Journal of Anesthesia..

Obesity is associated with increased morbidity and mortality related to many complex physiologic changes and the rise worldwide has had far ranging implications in healthcare. According to the World Health Organization, over 2.8 million people die each year from being overweight or obese. Patients who are obese often need surgical procedures or interventional pain procedures and are at higher risk of complications. Patients with super-super obesity are those with body mass index greater than 60 kg/m2 and are at even greater risk for complications. The present investigation reviews epidemiology, pathophysiology, and anesthesia considerations for best practice strategies in managing these higher risk patients. Clinical anesthesiologists must utilize careful assessment and consultation in developing safe anesthesia plans. Improvements in technology have advanced safety with regard to airway management with advanced airway devices and in regional anesthesia with ultrasound-guided nerve blocks that can provide increased flexibility in formulating a safe anesthetic plan. As well, newer drugs and monitors have been developed for perioperative use to enhance safety in patients with obesity.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Saudi journal of anaesthesia - 16(2022), 3 vom: 12. Juli, Seite 332-338

Sprache:

Englisch

Beteiligte Personen:

Kaye, Alan D [VerfasserIn]
Lingle, Brock D [VerfasserIn]
Brothers, Jordan C [VerfasserIn]
Rodriguez, Jessica R [VerfasserIn]
Morris, Anna G [VerfasserIn]
Greeson, Evan M [VerfasserIn]
Cornett, Elyse M [VerfasserIn]

Links:

Volltext

Themen:

Anesthesia
Journal Article
Morbid obesity
Obstructive sleep apnea
Review
Super-super obesity

Anmerkungen:

Date Revised 29.07.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.4103/sja.sja_235_22

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344182711