REVIEW ARTICLE
Year : 2022  |  Volume : 16  |  Issue : 3  |  Page : 332-338

The patient with obesity and super-super obesity: Perioperative anesthetic considerations


1 LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA
2 LSU Health New Orleans, New Orleans, LA, USA
3 Louisiana Tech University, 201 Mayfield Ave, Ruston, LA 71272, USA
4 School of Medicine, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA
5 Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA

Correspondence Address:
Elyse M Cornett
Assistant Professor, Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, P.O. Box 33932, Shreveport, LA 71130-3932
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_235_22

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Obesity is associated with increased morbidity and mortality related to many complex physiologic changes and the rise worldwide has had far ranging implications in healthcare. According to the World Health Organization, over 2.8 million people die each year from being overweight or obese. Patients who are obese often need surgical procedures or interventional pain procedures and are at higher risk of complications. Patients with super-super obesity are those with body mass index greater than 60 kg/m2 and are at even greater risk for complications. The present investigation reviews epidemiology, pathophysiology, and anesthesia considerations for best practice strategies in managing these higher risk patients. Clinical anesthesiologists must utilize careful assessment and consultation in developing safe anesthesia plans. Improvements in technology have advanced safety with regard to airway management with advanced airway devices and in regional anesthesia with ultrasound-guided nerve blocks that can provide increased flexibility in formulating a safe anesthetic plan. As well, newer drugs and monitors have been developed for perioperative use to enhance safety in patients with obesity.


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