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- Title
Obesity: physiologic changes and implications for preoperative management.
- Authors
Ortiz, Vilma E.; Kwo, Jean
- Abstract
The proportion of patients defined as obese continues to grow in many westernized nations, particularly the United States (USA). This trend has shifted the perioperative management of obese patients into the realm of routine care. As obese patients present for all types of procedures, it is crucial for anesthesiologists, surgeons, internists, and perioperative health care providers alike to have a firm understanding of their altered multi-organ physiology in order to safely prepare the obese patient for an operation. A careful preoperative evaluation may also serve to identify risk factors for postoperative adverse events. Subsequently, preoperative measures may be implemented to mitigate these complications. In this manuscript we address the major considerations for the preoperative evaluation of the severely obese patient.
- Subjects
ADIPOSE tissues; ASTHMA; CARDIOVASCULAR diseases risk factors; DIABETES; GASTROESOPHAGEAL reflux; HYPERTENSION; LIVER diseases; MENTAL illness; NUTRITION; NUTRITION disorders; OBESITY; BARIATRIC surgery; PREOPERATIVE care; SLEEP apnea syndromes; SURGICAL complications; THROMBOEMBOLISM; VEINS; POLYSOMNOGRAPHY; ACTIVITIES of daily living; METABOLIC syndrome; BODY mass index
- Publication
BMC Anesthesiology, 2015, Vol 15, Issue 1, p1
- ISSN
1471-2253
- Publication type
Article
- DOI
10.1186/s12871-015-0079-8