Skip to main content

Anästhesie bei Essstörungen

  • Chapter

Zusammenfassung

Sowohl adipöse als auch mangelernährte Patienten benötigen ein aufwändigeres anästhesiologisches Management als ein normalgewichtiger Patient. Die Adipositas ist mit einer Vielzahl von Komorbiditäten vergesellschaftet, die das Outcome der Patienten negativ beeinflussen können, ist aber per se kein Prädiktor für ein schlechteres Outcome. Anders verhält es sich mit der klinisch häufig nicht beachteten Mangelernährung, die Prädiktor eines schlechteren Patientenoutcome ist.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   209.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

Literatur zu ► Abschn. 68.1

  1. Adams JP, Murphy PG (2000) Obesity in anaesthesia and intensive care. Br J Anaesth 85: 91–108

    Article  PubMed  CAS  Google Scholar 

  2. Akinnusi ME, Pineda LA, El Solh AA (2008) Effect of obesity on intensive care morbidity and mortality: a meta-analysis. Crit Care Med 36: 151–158

    Article  PubMed  Google Scholar 

  3. Babb TG, Wyrick BL, DeLorey DS, Chase PJ, Feng MY (2008) Fat distribution and end-expiratory lung volume in lean and obese men and women. Chest 134: 704–711

    Article  PubMed  Google Scholar 

  4. Bogers RP, Bemelmans WJ, Hoogenveen RT et al. (2007) Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels: a meta-analysis of 21 cohort studies including more than 300 000 persons. Arch Intern Med 167: 1720–1728

    Article  PubMed  Google Scholar 

  5. Bostanjian D, Anthone GJ, Hamoui N, Crookes PF (2003) Rhabdomyolysis of gluteal muscles leading to renal failure: a potentially fatal complication of surgery in the morbidly obese. Obes Surg 13: 302–305

    Article  PubMed  Google Scholar 

  6. Brodsky JB, Mariano ER (2011) Regional anaesthesia in the obese patient: lost landmarks and evolving ultrasound guidance. Best Pract Res Clin Anaesthesiol 25: 61–72

    Article  PubMed  CAS  Google Scholar 

  7. Catenacci VA, Hill JO, Wyatt HR (2009) The obesity epidemic. Clin Chest Med 30: 415–44

    Article  PubMed  Google Scholar 

  8. De Baerdemaeker LE, Jacobs S, Den Blauwen NM et al. (2006) Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients. Obes Surg 16: 728–733

    Article  PubMed  Google Scholar 

  9. Eichenberger A, Proietti S, Wicky S et al. (2002) Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg 95: 1788–92, table

    Article  PubMed  Google Scholar 

  10. Gruberg L, Weissman NJ, Waksman R et al. (2002) The impact of obesity on the short-term and long-term outcomes after percutaneous coronary intervention: the obesity paradox? J Am Coll Cardiol 39: 578–584

    Article  PubMed  Google Scholar 

  11. Guh DP, Zhang W, Bansback N et al. (2009) The incidence of co-morbidities related to obesity and overweight: a systematic review and metaanalysis. BMC Public Health 9:88

    Article  PubMed  Google Scholar 

  12. Hall JC, Tarala RA, Hall JL, Mander J (1991) A multivariate analysis of the risk of pulmonary complications after laparotomy. Chest 99: 923–927

    Article  PubMed  CAS  Google Scholar 

  13. Hastie CE, Padmanabhan S, Slack R et al. (2010) Obesity paradox in a cohort of 4880 consecutive patients undergoing percutaneous coronary intervention. Eur Heart J 31: 222–226

    Article  PubMed  CAS  Google Scholar 

  14. Hong S, Youn YN, Yoo KJ (2010) Metabolic syndrome as a risk factor for postoperative kidney injury after off-pump coronary artery bypass surgery. Circ J 74: 1121–1126

    Article  PubMed  Google Scholar 

  15. Huschak G, Laudi S (2010) Perioperatives Risiko bei Adipositas. Adipositas 4: 5–9

    Google Scholar 

  16. Jacobs EJ, Newton CC, Wang Y et al. (2010) Waist circumference and allcause mortality in a large US cohort. Arch Intern Med 170: 1293–1301

    Article  PubMed  Google Scholar 

  17. Kajimoto K, Miyauchi K, Kasai T et al. (2009) Metabolic syndrome is an independent risk factor for stroke and acute renal failure after coronary artery bypass grafting. J Thorac Cardiovasc Surg 137: 658–663

    Article  PubMed  Google Scholar 

  18. Kalantar-Zadeh K, Block G, Horwich T, Fonarow GC (2004) Reverse epidemiology of conventional cardiovascular risk factors in patients with chronic heart failure. J Am Coll Cardiol 43: 1439–1444

    Article  PubMed  Google Scholar 

  19. Lambert E, Sari CI, Dawood T et al. (2010) Sympathetic nervous system activity is associated with obesity-induced subclinical organ damage in young adults. Hypertension 56: 351–358

    Article  PubMed  CAS  Google Scholar 

  20. Manson JE, Colditz GA, Stampfer MJ et al. (1990) A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med 322: 882–889

    Article  PubMed  CAS  Google Scholar 

  21. Mullen JT, Moorman DW, Davenport DL (2009) The obesity paradox: body mass index and outcomes in patients undergoing nonbariatric general surgery. Ann Surg 250: 166–172

    Article  PubMed  Google Scholar 

  22. Oreopoulos A, Padwal R, Norris CM et al. (2008) Effect of obesity on short- and long-term mortality postcoronary revascularization: a metaanalysis. Obesity (Silver Spring) 16: 442–450

    Article  Google Scholar 

  23. Pelosi P, Croci M, Ravagnan I et al. (1997) Respiratory system mechanics in sedated, paralyzed, morbidly obese patients. J Appl Physiol 82:811–818

    PubMed  CAS  Google Scholar 

  24. Pelosi P, Croci M, Ravagnan I, Vicardi P, Gattinoni L (1996) Total respiratory system, lung, and chest wall mechanics in sedated-paralyzed postoperative morbidly obese patients. Chest 109: 144–151

    Article  PubMed  CAS  Google Scholar 

  25. Pelosi P, Gregoretti C (2010) Perioperative management of obese patients. Best Pract Res Clin Anaesthesiol 24: 211–225

    Article  PubMed  Google Scholar 

  26. Pelosi P, Ravagnan I, Giurati G et al. (1999) Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 91: 1221–1231

    Article  PubMed  CAS  Google Scholar 

  27. Pelosi P, Tubiolo D, Mascheroni D et al. (1998) Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury. Am J Respir Crit Care Med 157: 387–393

    PubMed  CAS  Google Scholar 

  28. Samsoon GL, Young JR (1987) Difficult tracheal intubation: a retrospective study. Anaesthesia 42: 487–490

    Article  PubMed  CAS  Google Scholar 

  29. Shander A, Fleisher LA, Barie PS et al. (2011) Clinical and economic burden of postoperative pulmonary complications: Patient safety summit on definition, risk-reducing interventions, and preventive strategies. Crit Care Med 39: 2163–2172

    Article  PubMed  Google Scholar 

  30. Tait AR, Voepel-Lewis T, Burke C, Kostrzewa A, Lewis I (2008) Incidence and risk factors for perioperative adverse respiratory events in children who are obese. Anesthesiology 108: 375–380

    Article  PubMed  Google Scholar 

  31. Warner MA, Warner ME, Martin JT (1994) Ulnar neuropathy. Incidence, outcome, and risk factors in sedated or anesthetized patients. Anesthesiology 81: 1332–1340

    Article  PubMed  CAS  Google Scholar 

  32. Wilson PW, D‘Agostino RB, Sullivan L, Parise H, Kannel WB (2002) Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med 162: 1867–1872

    Article  PubMed  Google Scholar 

Literatur zu: ► Abschn. 68.2

  1. Alexander JW (1990) Nutrition and translocation. JPEN J Parenter Enteral Nutr 14: 170–174

    Article  Google Scholar 

  2. Cederholm T, Jägren C, Hellström K (1995) Outcome of protein-energy malnutrition in elderly medical patients. Am J Med 98: 67–74

    Article  PubMed  CAS  Google Scholar 

  3. Khan MA, Herzog CA, St Peter JV et al. (1998) The prevalence of cardiac valvular insufficiency assessed by transthoracic echocardiography in obese patients with appettite-suppressant drugs. N Engl J Med 339: 713–718

    Article  PubMed  CAS  Google Scholar 

  4. Mc Whirter JP, Pennington CR (1994) Incidence and recognition of malnutrition in hospital. Br Med J 308: 945–948

    Article  Google Scholar 

  5. Muller JM, Brenner U, Dienst C, Pichlmaier H (1982) Preoperative parenteral feeding in patients with gastrointestinal karzinoma. Lancet I: 68–71

    Article  Google Scholar 

  6. Reinhardt GF, Myscowski JW, Wilkins PB et al. (1980) Incidence and mortality of hypalbuminic patients in hospitalized veterans. JPEN J Parenter Enteral Nutr 4: 357–359

    Article  PubMed  CAS  Google Scholar 

  7. Seltzer MH, Bastidas JA, Cooper DM et al. (1979) Instant nutritional assessment. JPEN J Parenter Enteral Nutr 3: 157–159

    Article  PubMed  CAS  Google Scholar 

  8. The Veterans Affairs Total Parenteral Nutriton Cooperative Study Group (1991) Perioperative parenteral nutrition in surgical patients. N Engl J Med 325: 525–532

    Article  Google Scholar 

  9. Weinsier RL, Hunker EM, Krumdieck CL, Butterworth CE (1979) Hospital malnutrition:a prospective evaluation of general medical patients during the course of hospitalization. Am J Clin Nutr 32: 418–426

    PubMed  CAS  Google Scholar 

  10. Windsor JA, Hill GL (1988) Risk factors for postoperative pneumonia: the importance of protein depletion. Ann Surg 208: 209–214

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Huschak, G., Kaisers, U.X., Felbinger, T.W., Eltzschig, H.K. (2012). Anästhesie bei Essstörungen. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21125-6_68

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-21125-6_68

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-21124-9

  • Online ISBN: 978-3-642-21125-6

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics