Anesthetic challenges in the obese patient.

Journal of Anesthesia
Rudin Domi, Haki Laho

Abstract

Obesity seems to be the modern concern to society. An increasing number of obese patients present annually to surgical wards to undergo surgical procedures. As morbid obesity affects most of the vital organs, the anesthesiologist must be prepared to deal with several challenges. These include the preoperative evaluation of the consequences of obesity, particularly on cardiac, respiratory, and metabolic systems; airway management; different pharmacokinetic and pharmacodynamic drug regimen; and perioperative management (i.e., hemodynamic, respiratory, and hyperglycemic). This paper reviews and assesses the most important anesthetic issues in managing obese patients.

References

Aug 8, 1994·Archives of Internal Medicine·A N VgontzasA Kales
Oct 1, 1993·Anaesthesia and Intensive Care·J A WilliamsonA V Dreosti
Mar 1, 1993·The Journal of Clinical Endocrinology and Metabolism·D C MullerR Andres
Jun 1, 1996·AORN Journal·D R McEwen
Feb 26, 1997·JAMA : the Journal of the American Medical Association·S Z GoldhaberC H Hennekens
Sep 22, 1998·Anesthesiology·T D EganK T Muir
May 6, 1999·American Journal of Respiratory and Critical Care Medicine·C P O'donnellP L Smith
Sep 4, 1999·Anesthesia and Analgesia·G DhonneurP Duvaldestin
Oct 8, 1999·The New England Journal of Medicine·E E CalleC W Heath
May 4, 2000·The New England Journal of Medicine·UNKNOWN Acute Respiratory Distress Syndrome NetworkArthur Wheeler
Aug 6, 2000·British Journal of Anaesthesia·J P Adams, P G Murphy
Sep 15, 2000·The Surgical Clinics of North America·M J Curet
Dec 15, 2000·Archives of Surgery·H Blaszyk, J Björnsson
Aug 31, 2001·Journal of the American College of Cardiology·T B HorwichJ H Tillisch
Jan 31, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Preanesthesia Evaluation
Feb 28, 2002·Anesthesia and Analgesia·Jay B BrodskyLawrence J Saidman
Aug 2, 2002·The New England Journal of Medicine·Satish KenchaiahRamachandran S Vasan
Aug 3, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam H MillerBarbara Foster
Dec 3, 2002·Archives of Internal Medicine·Tobias KurthJoAnn E Manson
Jan 7, 2003·Anesthesiology Clinics of North America·Jonathan L Benumof
Mar 12, 2003·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·J Stevens
Jun 20, 2003·Lancet·Daniel DindoPierre-Alain Clavien
Jul 23, 2003·Anesthesia and Analgesia·Philippe JuvinJean-Marie Desmonts
Dec 6, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Thomas GrauJohann Motsch
Mar 5, 2004·Annals of Internal Medicine·James M O'BrienUNKNOWN National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network
Jul 21, 2004·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·A E PontiroliG Fragasso
Oct 8, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Juliann T CotterRicardo Pietrobon
Oct 23, 2004·BMJ : British Medical Journal·Cindy den HerderNico de Vries
Nov 6, 2004·Obesity Surgery·Jeremy S CollinsRichard M Levitan
Nov 24, 2004·Sleep Medicine Reviews·David R HillmanPeter R Eastwood
Apr 6, 2005·Journal of Clinical Anesthesia·Andrea Casati, Marta Putzu
Jul 15, 2005·Current Opinion in Critical Care·Elamin M Elamin
Sep 7, 2005·British Journal of Anaesthesia·F R AltermattL I Cortínez
Sep 24, 2005·Mayo Clinic Proceedings·Francisco Lopez-JimenezVirend K Somers
Apr 6, 2006·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal

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Citations

Apr 24, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Anthony E BozzioCyril Mauffrey
Jul 3, 2013·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Paola AcetoLiliana Sollazzi
May 1, 2015·Oral and Maxillofacial Surgery·Lars B Eriksson, Åke Tegelberg
Jul 6, 2013·Revista portuguesa de pneumologia·J MendonçaF J Abelha
Jan 28, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·S ParratteJ-N Argenson
Jun 26, 2013·International Anesthesiology Clinics·Yvon F BryanJoseph May
Sep 21, 2021·Visceral Medicine·Ulrich A DietzArmin Wiegering

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