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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2008, Number S1

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Rev Mex Anest 2008; 31 (S1)

Perioperative management of the obese patient

Brodsky JB
Full text How to cite this article

Language: English
References: 9
Page: 85-89
PDF size: 133.94 Kb.


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Obesity has become a world-wide epidemic in both industrial and developing nations. The precursors of obesity include gender, genetics, environment, ethnicity, education and socioeconomic status. Obesity related medical conditions are reversible following surgical weight loss. Laparoscopy is the preferred operative approach since it is associated with less postoperative pain, earlier recovery and reduced risk of postoperative pulmonary complications. Surgical options currently include either strictly restrictive procedures (vertical banded gastroplasty, adjustable gastric banding) that limit stomach capacity, or operations that combine gastric restriction and malabsorption (Roux-en-Y gastric bypass, biliary-pancreatic diversion, duodenal switch).


REFERENCES

  1. Morbid Obesity - Peri-operative Management. Alvarez A (ed). Cambridge University Press, 2004.

  2. Brodsky JB. Positioning the morbidly obese patient for anesthesia. Obes Surg 2002;12:751-8.

  3. Brodsky JB, et al. Morbid obesity and tracheal intubation. Anesth Analg 2003;94:732-6.

  4. Collins JS, et al. Laryngoscopy and morbid obesity: a comparison of the “sniff” and “ramped” positions. Obesity Surgery 2004;14:1171-5.

  5. Gaszynski T, et al. Post-anesthesia recovery after infusion of propofol with remifentanyl or alfentanyl or fentanyl in morbidly obese patients. Obes Surg 2004;14:1-7.

  6. Jense HG, et al. Effects of obesity on safe duration of apnea in anesthetized humans. Anesth Analg 1991;72:89-93.

  7. Lemmens HJM, et al. Estimating ideal body weight – a new formula. Obesity Surgery 2005;15:1082-3.

  8. Lemmens HJM, et al. Estimating blood volume in obese and morbidly obese patients. Obesity Surgery 2006;16:773-6.

  9. Lemmens HJM, et al. The dose of succinylcholine in morbid obesity. Anesthesia & Analgesia 2006;102:438-42.




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Rev Mex Anest. 2008;31