OBESE PATIENTS: ANESTHETIC CHALLENGES
DOI:
https://doi.org/10.31379/2411.2616.11.1.1Keywords:
obesity, anesthetic, pathophysiologyAbstract
In the age of the worldwide obesity epidemic, the obese patient is commonly encountered by the anesthesiologist. The anatomical distribution of increased body fat has numerous pathophysiologic consequences, especially as it pertains to the cardiopulmonary system. These changes may directly impact the perioperative course and must be appreciated. Obesity is associated with numerous co-morbidities, and special attention must be made to obtaining a thorough history and physical examination prior to surgery. In this chapter, we review important consideration for providing safe anesthesia to the obese patient. The physiologic effects of obesity are discussed, as well as important preoperative, intraoperative, and postoperative concerns.
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