Anesthetic management of patients with obesity and sleep apnea.
An increasing number of obese patients in the operating room is inevitable due to the well-known associated chronic health problems such as cardiovascular disease, diabetes mellitus, arthritis and cancer. Further, bariatric surgery is also likely to be increasingly performed. This article discusses the intraoperative issues in the care of patients with obesity, including airway management, pharmacokinetics, perioperative positioning, regional anesthesia, the intensity of monitoring required, laparoscopy, and minimizing hypoxia during anesthesia.
Passannante
Anthony N
AN
Department of Anesthesiology, University of North Carolina School of Medicine, N2201, CB 7010, Chapel Hill, NC 27599-7010, USA. apassannante@aims.unc.edu
Rock
Peter
P
D000765:Anesthesia, Conduction / Q000379:methods*; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control; D007430:Intraoperative Care / Q000379:methods; D016343:Monitoring, Intraoperative / Q000379:methods; D009765:Obesity / Q000150:complications* / Q000503:physiopathology; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000503:physiopathology; D013514:Surgical Procedures, Operative / Q000379:methods