Journal article
Obesity and anesthesia
Current opinion in anaesthesiology, Vol.37(3), pp.299-307
06/2024
DOI: 10.1097/ACO.0000000000001377
PMID: 38573180
Abstract
PURPOSE OF REVIEW Surgical procedures on obese patients are dramatically increasing worldwide over the past few years. In this review, we discuss the physiopathology of predominantly respiratory system in obese patients, the importance of preoperative evaluation, preoxygenation and intraoperative positive end expiratory pressure (PEEP) titration to prevent pulmonary complications and the optimization of airway management and oxygenation to reduce or prevent postoperative respiratory complications. RECENT FINDINGS Many patients are coming to preoperative clinic with medication history of glucagon-like-peptide 1 agonists (GLP-1) agonists and it has raised many questions regarding Nil Per Os (NPO)/perioperative fasting guidelines due to delayed gastric emptying caused by these medications. American Society of Anesthesiologists (ASA) has come up with guiding document to help with such situations. Ambulatory surgery centers are doing more obesity cases in a safe manner which were deemed unsafe at one point. Quantitative train of four (TOF) monitoring, better neuromuscular reversal agents and gastric ultrasounds seemed to have made a significant impact in the care of obese patients in the perioperative period. SUMMARY Obese patients are at higher risk of perioperative complications, mainly associated with those related to the respiratory function. An appropriate preoperative evaluation, intraoperative management, and postoperative support and monitoring is essential to improve outcome and increase the safety of the surgical procedure.
Details
- Title: Subtitle
- Obesity and anesthesia
- Creators
- Lovkesh AroraSurangama SharmaJames F Carillo
- Resource Type
- Journal article
- Publication Details
- Current opinion in anaesthesiology, Vol.37(3), pp.299-307
- DOI
- 10.1097/ACO.0000000000001377
- PMID
- 38573180
- eISSN
- 1473-6500
- Language
- English
- Electronic publication date
- 04/02/2024
- Date published
- 06/2024
- Academic Unit
- Anesthesia
- Record Identifier
- 9984582306302771
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