Abstract
Maybe more than any other subgroup, patients with morbid obesity may benefit from a multimodal approach to pain therapy that involves non-opioid adjuncts with or without the concomitant use of regional anesthesia. Although literature is only just emerging for this group of patients, common sense mandates that any opioid-sparing modality should be desirable. However, it must be kept in mind that adverse effects of analgesic adjuncts may be exaggerated in the morbidly obese patient since the range of comorbidities is so vast. Thus, the fine-tuning of perioperative analgesia in the morbidly obese patient needs to be carefully orchestrated, keeping in mind the potential benefits of multimodal approaches and weighing them against the individual patient’s risk factors.
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Pöpping, D.M., Wenk, M., Schug, S.A. (2013). What is the Role of Analgesic Adjuncts in Obese Patients?. In: Leykin, Y., Brodsky, J. (eds) Controversies in the Anesthetic Management of the Obese Surgical Patient. Springer, Milano. https://doi.org/10.1007/978-88-470-2634-6_24
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DOI: https://doi.org/10.1007/978-88-470-2634-6_24
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