Minutti-Palacios M

Idioma: Español
Referencias bibliográficas: 20
Paginas: 400-404
Archivo PDF: 856.89 Kb.

FRAGMENTO

FISIOPATOLOGÍA DEL DOLOR EN EL PACIENTE CON OBESIDAD: JUSTIFICACIÓN DEL ENFOQUE MULTIMODAL

El manejo del dolor postoperatorio en el paciente con obesidad representa uno de los retos más significativos en anestesiología perioperatoria. La coexistencia de apnea obstructiva del sueño (AOS) —presente en 71-86% de los candidatos a cirugía bariátrica—, hipoventilación obesidad-relacionada, disminución de la capacidad residual funcional (hasta 50% en decúbito) y sensibilidad aumentada a la depresión respiratoria inducida por opioides configura un escenario en el que el analgésico más empleado históricamente —el opioide— se convierte simultáneamente en el más peligroso.

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