Anesthetic Considerations

  • Hendrikus J. M. Lemmens
  • John M. Morton
  • Cindy M. Ku
  • Stephanie B. JonesEmail author


Anesthetic management of the patient with severe obesity presenting for bariatric surgery differs significantly from those of normal weight undergoing similar procedures. Well-planned and rational management of patients undergoing bariatric surgery requires detailed knowledge of how severe obesity affects perioperative care. The mechanical effects of increased body mass index (BMI) as well as the physiological changes and associated comorbidities impact safe management and decision-making by the anesthesiologist. The aim of this chapter is to provide the anesthesiologist with a practical approach to the problems that require special consideration in patients with severe obesity.


Obesity Morphine Midazolam Sugammadex Sedation Neuromuscular blockade Ideal body weight Opioid sparing Airway management Obstructive sleep apnea Pneumoperitoneum Postoperative nausea 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Hendrikus J. M. Lemmens
    • 1
  • John M. Morton
    • 2
  • Cindy M. Ku
    • 3
  • Stephanie B. Jones
    • 3
    Email author
  1. 1.Multispecialty Division, Department of AnesthesiaStanford University School of MedicineStanfordUSA
  2. 2.Bariatric and Minimally Invasive Surgery DivisionYale School of MedicineNew HavenUSA
  3. 3.Department of AnesthesiaCritical Care and Pain Medicine, Beth Israel Deaconess Medical CenterBostonUSA

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