[The anesthetist's point of view in the surgical treatment of morbid obesity].
The anaesthetic management of candidates for weight-reducing surgery requires a good evaluation of the repercussions of pathological obesity on cardiovascular and respiratory function. The operative risk is increased in obese subjects due to technical difficulties, mainly during intubation, and to postoperative respiratory and thromboembolic complications. The combination of general anaesthesia and thoracic peridural, when it is possible, is an ideal technique for the anaesthetic management of these patients. It must be performed by specialized personnel in a specialized environment. The objective of this management is to assess the operative risk, and to reduce it to an acceptable level by appropriate preoperative management taking into account the expected benefit of the surgical procedure.
Munsch
Y
Y
Département d'Anesthésie-Réanimaion, Hôpital E.-Herriot, Lyon.
Sagnard
P
P
D000758:Anesthesia; D006801:Humans; D009767:Obesity, Morbid / Q000601:surgery*; D011184:Postoperative Period; D011300:Preoperative Care; D012307:Risk Factors