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Obesity Surgery

, Volume 25, Issue 5, pp 879–887 | Cite as

Controversies in Perioperative Anesthetic Management of the Morbidly Obese: I Am a Surgeon, Why Should I Care?

  • Ashish C. Sinha
  • Preet Mohinder Singh
Review Article

Abstract

Over the last four decades, as the rates of obesity have increased, so have the challenges associated with its anesthetic management. In the present review, we discuss perioperative anesthesia management issues that are modifiable by the early involvement of the surgical team. We sum up available evidence or expert opinion on issues like patient positioning, postoperative analgesia, and the effect of continuous positive airway pressure (CPAP) ventilation on surgical anastomosis. We also address established predictors of higher perioperative risk and suggest possible management strategies and concerns of obese patients undergoing same day procedures. Finally, a generalized pharmacological model relevant to altered pharmacokinetics in these patients is presented.

Keywords

Obese perioperative controversies Bariatric anesthesia Preoperative OSA evaluation Positioning in obese 

Notes

Conflicts of Interest

None for both the authors (Dr Ashish Sinha and Dr Preet Mohinder Singh).

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Anesthesiology and Perioperative MedicineDrexel University College of MedicinePhiladelphiaUSA
  2. 2.Department of AnesthesiaAll India Institute of Medical SciencesNew DelhiIndia

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