Abir Farshad, Bell Robert
Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Crit Care Med. 2004 Apr;32(4 Suppl):S87-91. doi: 10.1097/01.ccm.0000125550.46521.e9.
The perioperative care of the clinically severe obese patient presents numerous unique challenges. As an increasing number of people in North America fall into the category of the clinically severe obese, the care of these patients will become increasingly more challenging and prevalent. These patients have unique issues with regards to cardiovascular, pulmonary, and thromboembolic complications. In addition, hospital equipment must be able to accommodate the body habitus of this population.
A Medline search using "perioperative care," "morbid obesity," "thromboembolic complications," "preoperative screening," and "postoperative care" as key words was performed for English-language articles. Further references were obtained through cross-referencing the bibliography cited in each work.
The management of the clinically severe obese patient requires meticulous preoperative, perioperative, and postoperative care. Careful preoperative planning is essential before taking the patient to the operating room. To have excellent outcomes, a multidisciplinary approach, including the primary care physician, anesthesiologist, surgeon, nursing staff, and social work, is necessary.
临床严重肥胖患者的围手术期护理面临众多独特挑战。随着北美越来越多的人属于临床严重肥胖类别，对这些患者的护理将变得越来越具有挑战性且普遍。这些患者在心血管、肺部和血栓栓塞并发症方面存在独特问题。此外，医院设备必须能够适应这一人群的体型。
使用“围手术期护理”“病态肥胖”“血栓栓塞并发症”“术前筛查”和“术后护理”作为关键词在Medline上搜索英文文章。通过交叉引用每篇著作中引用的参考文献获取更多参考文献。
临床严重肥胖患者的管理需要细致的术前、围手术期和术后护理。在将患者送入手术室之前，仔细的术前规划至关重要。为了获得良好的结果，多学科方法是必要的，包括初级保健医生、麻醉师、外科医生、护理人员和社会工作者。
