General Anesthetic Care of Obese Patients Undergoing Surgery: A Review of Current Anesthetic Considerations and Recent Advances.

anesthesia anesthetic management body mass index obesity surgery

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2023
Historique:
accepted: 08 07 2023
medline: 9 8 2023
pubmed: 9 8 2023
entrez: 9 8 2023
Statut: epublish

Résumé

Obesity has long been linked to adverse health effects over time. As the prevalence of obesity continues to rise, it is important to anticipate and minimize the complications that obesity brings in the anesthesia setting during surgery. Anesthetic departments must recognize the innumerable risks when managing patients with obesity undergoing surgery, including anatomical and physiological changes as well as comorbidities such as diabetes, cardiovascular diseases, and malignancies. Therefore, the purpose of this review is to analyze the current literature and evaluate the current and recent advances in anesthetic care of obese patients undergoing surgery, to better understand the specific challenges this patient population faces. A greater understanding of the differences between anesthetic care for obese patients can help to improve patient care and the specificity of treatment. The examination of the literature will focus on differing patient outcomes and safety precautions in obese patients as compared to the general population. Specifically highlighting the differences in pre-operative, intra-operative, and post-operative care, with the aim to identify issues and present possible solutions.

Identifiants

pubmed: 37554600
doi: 10.7759/cureus.41565
pmc: PMC10405976
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e41565

Informations de copyright

Copyright © 2023, Waheed et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

J Lipid Res. 2012 Jun;53(6):1080-92
pubmed: 22493093
Nutr Today. 2015 May;50(3):117-128
pubmed: 27340299
BMC Public Health. 2009 Mar 25;9:88
pubmed: 19320986
Anesthesiology. 1991 Mar;74(3):489-98
pubmed: 2001028
Diabetes. 1986 Apr;35(4):411-5
pubmed: 3956878
Diabetes. 1989 Mar;38(3):304-9
pubmed: 2645187
Ann Am Thorac Soc. 2018 Feb;15(2):117-126
pubmed: 29388810
Sleep. 2014 Oct 01;37(10):1673-8
pubmed: 25197805
Br J Anaesth. 2021 May;126(5):940-948
pubmed: 33454050
Anesth Analg. 2019 Jan;128(1):e16
pubmed: 30550474
BMC Anesthesiol. 2018 Aug 14;18(1):104
pubmed: 30103679
Cardiovasc Diabetol. 2017 Sep 29;16(1):120
pubmed: 28962617
JAMA. 2013 Jan 2;309(1):71-82
pubmed: 23280227
J Pediatr Pharmacol Ther. 2017 Nov-Dec;22(6):453-460
pubmed: 29290746
Mol Nutr Food Res. 2021 Jan;65(1):e1900482
pubmed: 32754976
Visc Med. 2021 Aug;37(4):287-297
pubmed: 34540945
Physiol Res. 2021 Dec 30;70(Suppl4):S511-S525
pubmed: 35199540
Circulation. 2009 Jul 7;120(1):86-95
pubmed: 19528335
Hernia. 2022 Aug;26(4):1033-1039
pubmed: 34057626
Br J Anaesth. 2018 Jun;120(6):1381-1393
pubmed: 29793603
World J Surg. 2007 Mar;31(3):556-60; discussion 561
pubmed: 16957821
J Anaesthesiol Clin Pharmacol. 2019 Oct-Dec;35(4):481-486
pubmed: 31920231
Br J Clin Pharmacol. 2004 Aug;58(2):119-33
pubmed: 15255794
J Clin Diagn Res. 2014 Oct;8(10):GE01-4
pubmed: 25478365
Anesthesiol Res Pract. 2012;2012:154208
pubmed: 22611385
Anesth Analg. 2002 Dec;95(6):1788-92, table of contents
pubmed: 12456460
BJA Educ. 2020 Aug;20(8):259-265
pubmed: 33456959
F1000Res. 2018 Aug 6;7:
pubmed: 30135720
Saudi J Anaesth. 2022 Jul-Sep;16(3):306-313
pubmed: 35898535
Surg Endosc. 2012 Jan;26(1):86-95
pubmed: 21863377
Plast Surg Nurs. 2004 Jul-Sep;24(3):118-22
pubmed: 15550814
PLoS One. 2018 Mar 22;13(3):e0194553
pubmed: 29566020
QJM. 2018 Jul 1;111(7):437-443
pubmed: 29025162
Anaesth Intensive Care. 2021 Mar;49(2):98-104
pubmed: 33906465
Can Anaesth Soc J. 1985 Jul;32(4):429-34
pubmed: 4027773
Anesthesiology. 2015 Mar;122(3):659-65
pubmed: 25536092
Indian J Anaesth. 2015 Oct;59(10):664-9
pubmed: 26644615
Int J Surg. 2015 Jun;18:184-90
pubmed: 25937154
Br J Anaesth. 2000 Jul;85(1):91-108
pubmed: 10927998
Br J Anaesth. 2018 Aug;121(2):367-377
pubmed: 30032875
Ann Palliat Med. 2020 Jul;9(4):1921-1927
pubmed: 32692244
Saudi J Anaesth. 2022 Jul-Sep;16(3):287-298
pubmed: 35898527
BMC Anesthesiol. 2020 Jun 17;20(1):151
pubmed: 32552691
Obes Surg. 2022 Sep;32(9):3138-3149
pubmed: 35809198
Anaesth Crit Care Pain Med. 2020 Apr;39(2):229-238
pubmed: 32068132
BMC Public Health. 2022 Jul 19;22(1):1382
pubmed: 35854279
Anaesthesia. 2009 Mar;64 Suppl 1:55-65
pubmed: 19222432
Minerva Anestesiol. 2014 Mar;80(3):382-92
pubmed: 24122033
Surg Obes Relat Dis. 2013 Sep-Oct;9(5):809-15
pubmed: 23810609
Br Med Bull. 2017 Dec 01;124(1):135-155
pubmed: 29140418
Anesthesiology. 1993 Apr;78(4):657-65
pubmed: 8466066
Anaesthesiol Intensive Ther. 2016;48(5):275-279
pubmed: 27869287
Eur J Anaesthesiol. 2016 Dec;33(12):898-905
pubmed: 26866433
Anesth Analg. 2002 Mar;94(3):732-6; table of contents
pubmed: 11867407
Anesth Essays Res. 2021 Jan-Mar;15(1):111-118
pubmed: 34667357
Braz J Anesthesiol. 2013 Sep-Oct;63(5):404-9
pubmed: 24263044
Acta Anaesthesiol Taiwan. 2014 Sep;52(3):134-42
pubmed: 25304317
BMC Anesthesiol. 2023 Apr 1;23(1):108
pubmed: 37005580
Anaesthesia. 2019 Apr;74(4):518-528
pubmed: 30600548
Rev Mal Respir. 2019 Oct;36(8):985-1001
pubmed: 31521434
Surgery. 1982 Aug;92(2):226-34
pubmed: 7101124
Br J Anaesth. 2015 Dec;115(6):873-82
pubmed: 26582848
Br J Anaesth. 1983 Sep;55(9):825-35
pubmed: 6615670
Anesth Analg. 2020 Aug;131(2):586-593
pubmed: 32175948
Curr Anesthesiol Rep. 2013 Mar 1;3(1):10-17
pubmed: 23525377
Metabolism. 1987 Jan;36(1):54-9
pubmed: 3796297
Saudi Med J. 2016 Jan;37(1):60-5
pubmed: 26739976
Anaesthesia. 2015 Mar;70(3):323-9
pubmed: 25388828
Metabolism. 2019 Mar;92:121-135
pubmed: 30445141
Anesthesiology. 2023 Jan 1;138(1):13-41
pubmed: 36520073
Surg Obes Relat Dis. 2021 Apr;17(4):737-743
pubmed: 33451962
Am J Manag Care. 2016 Jun;22(7 Suppl):s176-85
pubmed: 27356115
J Clin Oncol. 2011 Jan 1;29(1):25-31
pubmed: 21115856
Anesth Analg. 2004 Jan;98(1):264-265
pubmed: 14693634
Ann Transl Med. 2017 Apr;5(7):161
pubmed: 28480197
Surg Infect (Larchmt). 2019 Sep;20(6):439-443
pubmed: 31112072
Indian J Anaesth. 2017 Apr;61(4):315-320
pubmed: 28515519
BMC Surg. 2022 Jan 15;22(1):15
pubmed: 35033036
Curr Opin Anaesthesiol. 2017 Feb;30(1):126-132
pubmed: 27906721
Anaesthesia. 2012 Mar;67(3):232-5
pubmed: 22321077
Chest. 2016 Mar;149(3):631-8
pubmed: 26378880
Trends Cardiovasc Med. 2021 Feb;31(2):127-132
pubmed: 32008837
Anesthesiology. 2021 Apr 1;134(4):541-551
pubmed: 33630043
J Diabetes Res. 2018 Nov 4;2018:3407306
pubmed: 30525052
Anesthesiology. 2022 Jan 1;136(1):206-236
pubmed: 34710217
Nat Rev Cardiol. 2021 Apr;18(4):291-304
pubmed: 33188304
J Pak Med Assoc. 2012 Jan;62(1):36-40
pubmed: 22352099
Lancet. 2009 Mar 28;373(9669):1083-96
pubmed: 19299006
J Clin Anesth. 2018 Mar;45:6-11
pubmed: 29223575
Saudi J Anaesth. 2022 Jul-Sep;16(3):314-321
pubmed: 35898526

Auteurs

Zahra Waheed (Z)

Anesthesia, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, PAK.

Faiza Amatul-Hadi (F)

Medical School, Mercer University School of Medicine, Macon, USA.

Amritpal Kooner (A)

Medical School, Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, USA.

Muhammad Afzal (M)

Medical School, St. George's University School of Medicine, True Blue, GRD.

Rahma Ahmed (R)

Medical School, Kennesaw State University, Kennesaw, USA.

Harshawardhan Pande (H)

Medical School, Saint Louis University, St. Louis, USA.

Moses Alfaro (M)

Medical School, Long School of Medicine at University of Texas Health Science Center San Antonio, San Antonio, USA.

Amber Lee (A)

Medical School, Arkansas College of Osteopathic Medicine, Fort Smith, USA.

Joravar Bhatti (J)

Medical School, Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, USA.

Classifications MeSH