Open AccessActualización en el manejo anestésico del paciente obeso. ¿Lo sabemos todo?
Author(s) -
Belén Sánchez Quirós,
María Herrero
Publication year - 2019
Publication title -
revista electrónica de anestesiar
Language(s) - English
Resource type - Journals
ISSN - 1989-4090
DOI - 10.30445/rear.v11i7.766
Subject(s) - medicine , perioperative , humanities , anesthesia , philosophy
La obesidad creciente en nuestro medio es un factor de riesgo para la aparición de complicaciones perioperatorias. Un manejo perioperatorio individualizado, teniendo en cuenta la idiosincrasia de estos pacientes es esencial para mejorar los resultados y la seguridad del procedimiento quirúrgico. Un manejo anestesico adecuado puede cambiar sustancialmente el desenlace vital de estos pacientes. ABSTRACT Anesthetic management of obese patient update. Do we know everything? Obesity is a growing risk factor that leads to perioperative complications increase. An appropriate preoperative evaluation, intraoperative management and monitoring during the postoperative period is essential to improve safety during the surgical procedure. These patients present criteria of difficult intubation and ventilation, respiratory complications, especially the Apnea / hypopnea sleep syndrome (OSA); metabolic syndrome; prothrombotic state and cardiovascular complications. The commented article described the physiopathological characteristics and current recommendations of the anesthetic management for these patients.