scholarly journals Perioperative Management of Morbidly Obese Patients during Major Abdominal Surgery

2021 ◽  
Vol 13 (2) ◽  
pp. 26-33
Author(s):  
Byeong-Gon Na ◽  
Sang-Jae Park
Keyword(s):  
Abdominal Surgery ◽  
Perioperative Management ◽  
Major Abdominal Surgery ◽  
Morbidly Obese ◽  
Obese Patients

Obstructive Sleep Apnea

2018 ◽  
Author(s):  
Tomasz G. Rogula ◽  
Adriana Martin ◽  
Ivan Alberto Zepeda Mejia
Keyword(s):  
Bariatric Surgery ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Airway Management ◽  
Perioperative Management ◽  
Perioperative Period ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Preoperative Screening ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) is highly prevalent in morbidly obese patients, although it is surprisingly underdiagnosed and undertreated. OSA can increase the risk of serious and life-threating complications in the perioperative period of bariatric surgery. Nevertheless, this potential risk can be minimized with adequate preoperative screening and perioperative management. The perioperative management of patients with OSA will affect the preparation for surgery, airway management, anesthetic selection, and monitoring. This chapter discusses and presents the best evidences available for the management of patients with OSA in order to decrease both the prevalence of undiagnosed patients and the morbidity associated with bariatric surgery.

Continuous Spinal Anesthesia/Analgesia for Perioperative Management of Morbidly Obese Patients Undergoing Laparotomy for Gastroplastic Surgery

2000 ◽  
Vol 10 (3) ◽  
pp. 220-229 ◽  
Author(s):  
D. Michaloudis ◽  
O. Fraidakis ◽  
A. Petrou ◽  
H. Farmakalidou ◽  
M. Neonaki ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Perioperative Management ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Continuous Spinal Anesthesia

Perioperative management of a patient with Bernard - Soulier - Syndrome undergoing major abdominal surgery

2007 ◽  
Vol 24 (Supplement 39) ◽  
pp. 66
Author(s):  
R. M. Groessle ◽  
C. F. Hoffmann ◽  
U. Schuler ◽  
R. J. Litz ◽  
T. Koch
Keyword(s):  
Abdominal Surgery ◽  
Perioperative Management ◽  
Major Abdominal Surgery ◽  
Bernard Soulier Syndrome

Pressure-controlled Ventilation Does Not Improve Gas Exchange in Morbidly Obese Patients Undergoing Abdominal Surgery

2007 ◽  
Vol 18 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Gregory A. Hans ◽  
Audrey A. Prégaldien ◽  
Abdourahamane Kaba ◽  
Thierry M. Sottiaux ◽  
Arnaud DeRoover ◽  
...  
Keyword(s):  
Gas Exchange ◽  
Abdominal Surgery ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Controlled Ventilation ◽  
Pressure Controlled Ventilation ◽  
Pressure Controlled

Influences of pneumoperitoneum on tissue oxygenation during laparoscopic abdominal surgery in normal weight and morbidly obese patients

2004 ◽  
Vol 21 (Supplement 32) ◽  
pp. 61
Author(s):  
E. Fleischmann ◽  
B. Kabon ◽  
M. Niedermayr ◽  
O. Kimberger ◽  
A. Kurz
Keyword(s):  
Abdominal Surgery ◽  
Tissue Oxygenation ◽  
Normal Weight ◽  
Morbidly Obese ◽  
Obese Patients

scholarly journals Preoperative Evaluation, Anesthesia and Outcome of a Super Morbidly Obese Patient.

2020 ◽  
Vol 4 (2) ◽  
pp. 733-737
Author(s):  
Majlinda NAÇO ◽  
Haxhire GANI ◽  
Nertila KODRA ◽  
Etmont ÇELIKU ◽  
Alma LLUKAÇAJ ◽  
...  
Keyword(s):  
Perioperative Management ◽  
Severe Hypertension ◽  
Preoperative Evaluation ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Hypertension Treatment ◽  
Morbidly Obese Patient ◽  
Metabolic Systems ◽  
Life Threatening ◽  
Weaning Criteria

Background; Nowadays anesthesia and outcome of morbidly obese patients became not only challenges but and an obligation in abdominal surgery. Sometimes morbidly obese patients postponed from all the kinds of surgery till it is life-threatening. The ward of anesthetists is obligate for a very careful preoperative evaluation, anesthesia, and outcome of morbidity obese patients. These include the preoperative evaluation of obesity, particularly on cardiac, respiratory, and metabolic systems; airway management; perioperative management (i.e., hemodynamic, respiratory, and hyperglycemic) and postoperative care. Case description: A 62 years old female with BMI=63.7 kg/m² with severe hypertension treatment came to a surgery ward for the plastic abdomen. After a careful preoperative preparation for the respiratory system and prophylaxis for thrombosis home, we started preoperative care 72 hours before surgery done in our hospital. We used general anesthesia for operation, the surgery lasts 190 minutes, and the patient was extubated according to weaning criteria only 16 hours after surgery. The patient stayed 2 days in intensive care and left a safe hospital on her ten days of recovery. Discussion:  Super obese surgical patients represent numerous challenges to the anesthetist. Conclusion: A better understanding of the pathophysiology and complications that accompany obesity may improve their care and outcome.

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