Brodsky Jay B, Lemmens Harry J M
Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA.
Obes Surg. 2007 Sep;17(9):1146-9. doi: 10.1007/s11695-007-9207-y.
The potential advantages of regional anesthesia include minimal airway intervention, less cardiopulmonary depression, excellent postoperative analgesia, less postoperative nausea and vomiting, and shorter recovery room and hospital stays. These concerns are particularly important for the obese surgical patient. This review discusses the application of regional anesthetic techniques in obesity. Further clinical studies are needed to fill the knowledge gap about regional anesthesia and outcome in obese and morbidly obese patients.
区域麻醉的潜在优势包括气道干预最少、心肺抑制较轻、术后镇痛效果良好、术后恶心呕吐较少以及恢复室停留时间和住院时间较短。这些问题对于肥胖手术患者尤为重要。本综述讨论了区域麻醉技术在肥胖症中的应用。需要进一步的临床研究来填补肥胖和病态肥胖患者区域麻醉与预后方面的知识空白。
