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Anaesthetic Preparation of Obese Patients: Current Status on Optimal Work-up

  • Health Services and Programs (R Welbourn, Section Editor)
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Abstract

Purpose of Review

With the prevalence of obesity rapidly growing, bariatric anaesthesia becomes everyday anaesthesia rather than a subspecialty. In this review, we are aiming to draw attention to this complex group of patients and their comorbidities, relevant to everyday practice for contemporary anaesthetists.

Recent Findings

We wanted to focus greatly on sleep-related breathing disorders, because preoperative screening, diagnosis and treatment of the aforementioned make a huge impact in the improvement of preoperative morbidity and mortality, including positive effects on the cardiovascular system. The overview is touching on main obesity-related comorbidities and guides the anaesthetist and associated health professionals on how to approach and manage them.

Summary

A multidisciplinary approach widely used in bariatric care may be adopted in the care of obese patients in order to reduce preoperative morbidity and mortality. We advocate the early involvement of the anaesthetic team in the preoperative assessment of obese patients in order to achieve appropriate risk stratification and optimise the care.

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Authors and Affiliations

  1. Imperial College Healthcare NHS Trust, St Mary’s Hospital, Praed St, London, W2 1NY, UK

    Asta Lukosiute, Anil Karmali & Jonathan Mark Cousins

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  1. Asta Lukosiute
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  2. Anil Karmali
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  3. Jonathan Mark Cousins
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Correspondence to Asta Lukosiute.

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Asta Lukosiute declares that she has no conflict of interest.

Anil Karmali declares that he has no conflict of interest.

Jonathan Mark Cousins is the Chairman of the Society for Obesity & Bariatric Anaesthesia (SOBA).

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Health Services and Programs

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Lukosiute, A., Karmali, A. & Cousins, J.M. Anaesthetic Preparation of Obese Patients: Current Status on Optimal Work-up. Curr Obes Rep 6, 229–237 (2017). https://doi.org/10.1007/s13679-017-0268-5

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