Obesity: Anaesthetic implications and considerations-a review

Teena Bansal; Sarla Hooda

doi:10.7197/cmj.v36i3.5000007231

EN TR

Obesity: Anaesthetic implications and considerations-a review

Abstract

Abstract

The obese patient presents many challenges to anaesthesiologist. A good understanding of the pathophysiologic effects of obesity and its anaesthetic implications is important. The anaesthesiologist must recognize increased risks and comorbidities inherent to the obese patient and manage accordingly, optimizing multisystem function in the perioperative period that leads to successful outcomes. Perioperative issues such as intravenous access, difficulty in measuring non invasive blood pressure, difficult spinal, epidural and difficult airway should be anticipated and planned.

Keywords: Obesity, anaesthesia, anaesthetic considerations

Keywords

Obesity, anaesthesia, anaesthetic considerations

References

Bray GA. Pathophysiology of obesity. Am J Clin Nutr 1992; 55: 488-94.
Bray GA. Complications of obesity. Ann Intern Med 1985; 103: 1052-62.
Jensen MD. Health consequences of fat distribution. Horm Res 1997; S48: 88-92. Koenig SM. Pulmonary complications of obesity. Am J Med Sci 2001; 321: 249
Douglas NJ, Polo O. Pathogenesis of obstructive sleep apnoea/ hypopnoea syndrome. Lancet 1994; 344: 653-5.
Vgontzas AN, Tan TL, Bixler EO, Martin LF, Shubert D, Kales A. Sleep apnea and sleep distribution in obese patients. Arch Int Med 1994; 154: 1705-11.
Lotia S, Bellamy MC. Anaesthesia and morbid obesity.Critical Care & Pain 2008; 8: 151-6.
Adams JP, Murphy PG. Obesity in anaesthesia and intensive care. Br J Anaesth 2000; 85: 91-108.
Alpert MA, Hashimi MW. Obesity and the heart. Am J Med Sci 1993; 306: 117

Vaughan RW, Bauer S, Wise L. Volume and pH of gastric juice in obese patients. Anesthesiology 1975; 43: 686-9.
Bansal T, Hooda S. Awake intubation- a viable approach for preventing aspiration in patients undergoing emergency surgery after administration of oral contrast material. Egyptian Journal of Anaesthesia 2013; 29: 179-80.
Neill T, Allam J. Anaesthetic considerations and management of the obese patient presenting for bariatric surgery. Current anaesthesia & Critical Care 2010; 21: 16Brodsky JB. Anesthetic management of the morbidly obese patient. Int Anesthesiol Clin 1986; 24: 93-103.
Brodsky JB, Lemmens HJ, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg 2002; 94: 732-6.
Rao DP, Rao VA. Morbidly obese parturient. Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new? Indian J Anaesth 2010; 54: 508-21.
Warner MA, Warner DO, Harper CM, Schroeder DR, Maxson PM. Ulnar neuropathy in medical patients. Anesthesiology 2000; 92: 613-5.
Dority J, Hassan Z, Chau D. Anesthetic implications of obesity in the surgical patient. Clin Colon Rectal Surg 2011; 24: 222-8.
Bansal T, Kumar P, Hooda S. Regional anaesthesia-still a comfortable choice in morbidly obese parturient. Colombian Journal of Anaesthesiology 2013; 41: 302
Wallace DH, Currie JM, Gilstrap LC, Santos R. Indirect sonographic guidance for epidural anaesthesia in obese pregnant patients. Reg Anesth 1992; 17: 233-6. Shah N, Lattoo Y. Anaesthetic management of obese parturient. BJMP 2008; 1: 15Dixon BJ, Dixon JB, Carden JR, Burn AJ, Schachter LM, Playfair JM. Preoxygenation is more effective in the 25 head up position than in the supine position in severely obese patients: A randomized controlled study. Anesthesiology 2005; 102: 1110-5.
Gander S, Frascarolo P, Suter M, Spahn DR, Magnusson L. Positive end expiratory pressure during induction of general anaesthesia increases duration of non hypoxic apnea in morbidly obese patients. Anesth Analg 2005; 100: 580-4.
Ankichetty SP, Angle P, Joselyn AS, Chinnappa V, Halpern S. Anesthetic considerations of parturients with obesity and obstructive sleep apnea. J Anaesthesiol Clin Pharmacol 2012; 28: 436-43.

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Teena Bansal

Sarla Hooda

Publication Date

March 1, 2014

Submission Date

March 1, 2014

Acceptance Date

-

Published in Issue

Year 2014 Volume: 36 Number: 3

DOI

https://doi.org/10.7197/cmj.v36i3.5000007231

IZ

https://izlik.org/JA26PZ99RR

Cite

RIS / Bibtex

AMA

1.Bansal T, Hooda S. Obesity: Anaesthetic implications and considerations-a review. CMJ. 2014;36(3):409-414. doi:10.7197/cmj.v36i3.5000007231

Cited By

Neuro-anesthetic Management of Craniotomy-surgery in Removal Tumor Multiple Meningioma Patients: A Case Report

Open Access Macedonian Journal of Medical Sciences

https://doi.org/10.3889/oamjms.2021.6371

Obesity: Anaesthetic implications and considerations-a review

Obesity: Anaesthetic implications and considerations-a review

Abstract

Keywords

Obezite: Anestetik etkileri ve özellikleri-derleme

Öz

Anahtar Kelimeler

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite

Cited By

Neuro-anesthetic Management of Craniotomy-surgery in Removal Tumor Multiple Meningioma Patients: A Case Report