Anesthetic Management of Patients with Obesity

Yıl 2016, Cilt: 25 Sayı: 3, 406 - 419, 30.09.2016

Öznur Uludağ , Mediha Türktan

https://doi.org/10.17827/aktd.248423

Cited By: 1

Öz

Obesity has become a rapidly growing public health problem in whole world. Obesity and alterations due to obesity which include changes in metabolic, cardiovascular and pulmonary functions increase risk of perioperative mortality and morbidity. Obesity impacts anesthesia procedures significantly. Comorbid diseases such as hypertension, coronary artery disease, diabetes mellitus, and pulmonary diseases increase risk of complications during anesthesia. In this review we evaluated important factors that should be considered during planning of anesthesia for obesity surgery and other surgeries, management of intraoperative anesthesia and postoperative analgesia, and management of complications.

Anahtar Kelimeler

Obesity, anesthesia management

Obezite Hastalarında Anestezi Yönetimi

Öz

Obezite, tüm dünyada giderek artan bir toplum sağlığı sorunu haline gelmiştir. Obezite ve obeziteye
bağlı ortaya çıkan metabolik, kardiyovasküler ve pulmoner fonksiyonlar üzerinde değişiklikler,
perioperatif mortalite ve morbidite riskini arttıran nedenlerdir. Obezite, anestezi uygulamalarını
önemli ölçüde etkilemektedir. Vücut ağırlığının artması ile birlikte hava yolu yönetiminin zorlaşması
başta olmak üzere hipertansiyon, koroner arter hastalıkları, diabetes mellitus, solunum yolu
hastalıkları gibi yandaş hastalıklar anestezi riskini artırmaktadır. Bu derlemede; anestezi pratiğinde
obezite cerrahisinde ve obezite dışı diğer cerrahilerde gün geçtikçe artan sayıda karşılaştığımız obez
hasta popülasyonunda preoperatif anestezi planlamasında dikkat edilmesi gereken hususlar,
intraoperatif anestezi yönetimi, postoperatif analjezi ve komplikasyonlar güncel bilgiler ışığında
sunulmuştur.

Anahtar Kelimeler

Obezite, anestezi yönetimi

Kaynakça

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• Correspondence Address / Yazışma Adresi Öznur Uludağ
• Adıyaman Üniversitesi Tıp Fakültesi,
• Anesteziyoloji ve Reanimasyon Anabilim Dalı, Adıyaman, Turkey
• e-posta: [e-mail]
• Geliş tarihi/ Received: 10.02.2016
• Kabul tarihi/Accepted: 07.03.2016