Controversies in perioperative anesthetic management of the morbidly obese: I am a surgeon, why should I care?

Abstract:

:Over the last four decades, as the rates of obesity have increased, so have the challenges associated with its anesthetic management. In the present review, we discuss perioperative anesthesia management issues that are modifiable by the early involvement of the surgical team. We sum up available evidence or expert opinion on issues like patient positioning, postoperative analgesia, and the effect of continuous positive airway pressure (CPAP) ventilation on surgical anastomosis. We also address established predictors of higher perioperative risk and suggest possible management strategies and concerns of obese patients undergoing same day procedures. Finally, a generalized pharmacological model relevant to altered pharmacokinetics in these patients is presented.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Sinha AC,Singh PM

doi

10.1007/s11695-015-1635-5

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

879-87

issue

5

eissn

0960-8923

issn

1708-0428

journal_volume

25

pub_type

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