Perioperative evaluation of the obese patient

被引：20

作者：

Donohoe, Claire L. ^{[1
]}

Feeney, Ciara ^{[2
]}

Carey, Michael F. ^{[3
]}

Reynolds, John V. ^{[1
]}

机构：

[1] St James Hosp, Trinity Coll Dublin, Trinity Ctr Hlth Sci, Dept Surg, Dublin 8, Ireland

[2] St James Hosp, Trinity Coll Dublin, Trinity Ctr Hlth Sci, Dept Physiotherapy, Dublin 8, Ireland

[3] St James Hosp, Trinity Coll Dublin, Trinity Ctr Hlth Sci, Dept Anaesthesiol & Crit Care, Dublin 8, Ireland

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2011年 / 23卷 / 07期

关键词：

Obesity; Obesity Paradox; BODY-MASS-INDEX; SURGICAL SITE INFECTION; LAPAROSCOPIC COLORECTAL SURGERY; BRAIN NATRIURETIC PEPTIDE; END-EXPIRATORY PRESSURE; VISCERAL ADIPOSE-TISSUE; MORTALITY RISK SCORE; GASTRIC BYPASS; POSTOPERATIVE COMPLICATIONS; METABOLIC SYNDROME;

D O I：

10.1016/j.jclinane.2011.06.005

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

There is rapidly increasing prevalence of obesity throughout Western societies and increasing numbers of patients undergoing surgery are obese. Obesity is a condition of chronic systemic inflammation and is associated with an increased burden of comorbidities. Despite traditional teaching, obesity may not be an independent risk factor for poor postoperative outcomes. The Obesity Paradox describes the observation that small amounts of excess body fat may be protective against postoperative complications. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：575 / 586

页数：12

共 184 条

[1]

AGARWAL N, 1982, SURGERY, V92, P226

[2] Postoperative hypoxemia in morbidly obese patients with and without obstructive sleep apnea undergoing laparoscopic bariatric surgery [J].

Ahmad, Shireen ;

Nagle, Alexander ;

McCarthy, Robert J. ;

Fitzgerald, Paul C. ;

Sullivan, John T. ;

Prystowsky, Jay .

ANESTHESIA AND ANALGESIA, 2008, 107 (01) :138-143

[3] Harmonizing the Metabolic Syndrome A Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity [J].

Alberti, K. G. M. M. ;

Eckel, Robert H. ;

Grundy, Scott M. ;

Zimmet, Paul Z. ;

Cleeman, James I. ;

Donato, Karen A. ;

Fruchart, Jean-Charles ;

James, W. Philip T. ;

Loria, Catherine M. ;

Smith, Sidney C., Jr. .

CIRCULATION, 2009, 120 (16) :1640-1645

[4] EFFECT OF EXERCISE ON LEFT-VENTRICULAR SYSTOLIC FUNCTION AND RESERVE IN MORBID-OBESITY [J].

ALPERT, MA ;

SINGH, A ;

TERRY, BE ;

KELLY, DL ;

VILLARREAL, D ;

MUKERJI, V .

AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (20) :1478-1482

[5]

Anaya Daniel A, 2006, Surg Infect (Larchmt), V7, P473, DOI 10.1089/sur.2006.7.473

[6] Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures An Updated Report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters [J].

Apfelbaum, Jeffrey L. ;

Caplan, Robert A. ;

Connis, Richard T. ;

Epstein, Burton S. ;

Nickinovich, David G. ;

Warner, Mark A. .

ANESTHESIOLOGY, 2011, 114 (03) :495-511

[7] Multifactorial risk index for predicting postoperative respiratory failure in men after major noncardiac surgery [J].

Arozullah, AM ;

Daley, J ;

Henderson, WG ;

Khuri, SF .

ANNALS OF SURGERY, 2000, 232 (02) :242-253

[8] Postoperative complications in obese and nonobese patients [J].

Bamgbade, Olumuyiwa A. ;

Rutter, Timothy W. ;

Nafiu, Olubukola O. ;

Dorje, Pema .

WORLD JOURNAL OF SURGERY, 2007, 31 (03) :556-561

[9]

Barak N, 2002, Obes Rev, V3, P9, DOI 10.1046/j.1467-789X.2002.00049.x

[10] Metabolic syndrome and insulin resistance: Perioperative considerations [J].

Baty, Hema S. ;

Raghavendran, Sreekrishna ;

Carli, Franco .

ANESTHESIOLOGY, 2008, 108 (03) :506-523

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