Anaesthetic Implications in Obese Patients: A Case Series
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 10, Issue 3
Abstract
Across the globe, obesity is a major cause for post-op morbidity and mortality. More people are obese than malnourished, and its second only to smoking as a preventable cause of death. Obesity is defined as BMI>30kg/met-square. Obesity is a complex and multifactorial diseasebut, in simple terms, occurs when net energy intake exceeds net energy expenditure over a prolonged period of time. However, it is not always easy to identify a single explanation as to why this occurs in some individuals and not others. The various pathophysiological changes in obesity should be taken into consideration for planning anaesthesia. Various physiological changes occurring in all the body systems contribute to problems faced by an anaesthetist. Obesity due to its effect on the body, changes the approach of the anaesthetist while planning anaesthesia to a particular surgery. A thorough understanding of the drug doses, physiological changes and special techniques makes the anaesthesia a comforatable experience for the patient and the anaesthetist. Descriptions of two obese patients anaesthetic management is detailed, focusing on the changes made to the routine practice. One patient is done under regional anaesthesia while other receives general anaesthesia
Authors and Affiliations
Pramod Bhale , Saurabh More , Abhijeet Kabade
Keywords
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