[The obese patient].
Anaesthesia to obese patients is a challenge due to specific changes in respiratory and circulatory functions. Obese patients have a higher risk of acquiring nosocomial infections, including wound sepsis. The place for minimal invasive surgery to limit complications in these patients is unresolved. There is need for prophylactic administration of antitrombotics and antibiotics administered on a weight-adjusted basis. The risk induced from anaesthesia and surgery correlates with comorbidity rather than BMI. Obese patients should not be discriminated against when considering a surgical option.
Jørgensen
Lars Nannestad
LN
H:S Bispebjerg Hospital, Kirurgisk Afdeling K, Aalborg Sygehus, København NV. larsnjorgensen@hotmail.com
Ravlo
Odd
O
Richelsen
Bjørn
B
D000758:Anesthesia / Q000009:adverse effects* / Q000379:methods; D001775:Blood Circulation; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D009765:Obesity / Q000150:complications* / Q000503:physiopathology; D019990:Perioperative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D011292:Premedication; D012119:Respiration; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000009:adverse effects* / Q000401:mortality; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control