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
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
收藏
页码:575 / 586
页数:12
相关论文
共 50 条
  • [1] Perioperative management of the obese surgical patient
    Lang, L. H.
    Parekh, K.
    Tsui, B. Y. K.
    Maze, M.
    BRITISH MEDICAL BULLETIN, 2017, 124 (01) : 135 - 155
  • [2] Perioperative management of obese patient
    Bazurro, Simone
    Ball, Lorenzo
    Pelosi, Paolo
    CURRENT OPINION IN CRITICAL CARE, 2018, 24 (06) : 560 - 567
  • [3] Perioperative care of the obese patient
    Carron, M.
    Fakhr, B. Safaee
    Ieppariello, G.
    Foletto, M.
    BRITISH JOURNAL OF SURGERY, 2020, 107 (02) : E39 - E55
  • [4] Perioperative Care of the Obese Cardiac Surgical Patient
    Chacon, M. Megan
    Cheruku, Sreekanth R.
    Neuburger, Peter J.
    Lester, Laeben
    Shillcutt, Sasha K.
    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2018, 32 (04) : 1911 - 1921
  • [5] Respiratory Management of Perioperative Obese Patients
    Imber, David A. E.
    Pirrone, Massimiliano
    Zhang, Changsheng
    Fisher, Daniel F.
    Kacmarek, Robert M.
    Berra, Lorenzo
    RESPIRATORY CARE, 2016, 61 (12) : 1681 - 1692
  • [6] PERIOPERATIVE MANAGEMENT OF THE OBESE PATIENT
    SHENKMAN, Z
    SHIR, Y
    BRODSKY, JB
    BRITISH JOURNAL OF ANAESTHESIA, 1993, 70 (03) : 349 - 359
  • [7] Perioperative physiology and pharmacology in the obese small animal patient
    Love, Lydia
    Cline, Martha G.
    VETERINARY ANAESTHESIA AND ANALGESIA, 2015, 42 (02) : 119 - 132
  • [8] Transplantation in Obese Patient
    Killackey, Mary T.
    MOUNT SINAI JOURNAL OF MEDICINE, 2012, 79 (03): : 388 - 396
  • [9] Perioperative management of the obese ambulatory patient
    Skues, Mark A.
    CURRENT OPINION IN ANESTHESIOLOGY, 2018, 31 (06) : 693 - 699
  • [10] Perioperative Management of Obese Patients
    Leonard, Kenji L.
    Davies, Stephen W.
    Waibel, Brett H.
    SURGICAL CLINICS OF NORTH AMERICA, 2015, 95 (02) : 379 - +