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The Severely Obese Patient

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Anesthesia in High-Risk Patients

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Abstract

The progression of the prevalence of obesity worldwide should be preoccupying in the field of anesthesiology. In addition to the multisystemic morbidities, the respiratory and cardiac morbidity associated with severe obesity needs to be very well investigated prior to surgery and during the perioperative period. More essential is the evaluation and the management of the superior airway in this population presenting many risk factors for difficult ventilation and intubation. The perioperative ventilation should include systematic use of positive end-expiratory pressure (PEEP). Furthermore, the use of multimodal analgesia during the postoperative period allows adequate analgesia without using too much narcotics.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec City, QC, Canada

    Lorrie Tremblay & Jean S. Bussières

  2. Department of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec City, QC, Canada

    Paul Poirier

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  1. Lorrie Tremblay
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  2. Jean S. Bussières
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  3. Paul Poirier
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Corresponding author

Correspondence to Jean S. Bussières .

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Editors and Affiliations

  1. Department of Anaesthesiology and Critical Care Medicine, Louis Pradel Hosp, Hospices Civils Lyon, Lyon, Rhône, France

    Jean-Luc Fellahi

  2. Service d'Anesthésie-Réanimation, Hôpital Nord, Marseille cedex 20, France

    Marc Leone

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Tremblay, L., Bussières, J.S., Poirier, P. (2018). The Severely Obese Patient. In: Fellahi, JL., Leone, M. (eds) Anesthesia in High-Risk Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-60804-4_12

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  • DOI: https://doi.org/10.1007/978-3-319-60804-4_12

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