Obesity and Coexisting Diseases: Anesthesiological Point of View
Obesity is a metabolic disease in which adipose tissue represents a proportion of body tissue greater than normal (more than 30% of body weight). Up to 33% of the population in North America and 20% in Italy can be considered obese, exceeding by 10% or more their ideal body weight. Recently, great improvement has been made in developing new surgical techniques for the treatment of obesity such as ileojejunal bypass and/or gastric binding (1). However, since these patients are characterized by several systemic physiopathological alterations, the anesthesiological management in the perioperative period may present several problems, mainly related to their body habitus, respiratory and cardiovascular derangements (2). In this review, we will briefly discuss the anesthesiological management of obese patients in the perioperative period.
KeywordsObese Patient Functional Residual Capacity Respiratory Mechanic Chest Wall Compliance Respiratory Work
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