Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed St, London, W2 1NY, UK.
Curr Obes Rep. 2017 Sep;6(3):229-237. doi: 10.1007/s13679-017-0268-5.
With the prevalence of obesity rapidly growing, bariatric anaesthesia becomes everyday anaesthesia rather than a subspecialty. In this review, we are aiming to draw attention to this complex group of patients and their comorbidities, relevant to everyday practice for contemporary anaesthetists.
We wanted to focus greatly on sleep-related breathing disorders, because preoperative screening, diagnosis and treatment of the aforementioned make a huge impact in the improvement of preoperative morbidity and mortality, including positive effects on the cardiovascular system. The overview is touching on main obesity-related comorbidities and guides the anaesthetist and associated health professionals on how to approach and manage them. A multidisciplinary approach widely used in bariatric care may be adopted in the care of obese patients in order to reduce preoperative morbidity and mortality. We advocate the early involvement of the anaesthetic team in the preoperative assessment of obese patients in order to achieve appropriate risk stratification and optimise the care.
随着肥胖症的患病率迅速增长，肥胖症患者的麻醉已成为日常麻醉，而不再是一个亚专科。在本次综述中，我们旨在提请当代麻醉医师注意这一复杂的患者群体及其合并症，这些合并症与日常实践息息相关。
我们希望重点关注与睡眠相关的呼吸障碍，因为术前筛查、诊断和治疗上述疾病对降低术前发病率和死亡率有重大影响，包括对心血管系统的积极影响。该综述涉及主要的肥胖相关合并症，并指导麻醉医师和相关的医疗保健专业人员如何处理这些合并症。多学科方法广泛应用于减重治疗中，也可用于肥胖患者的护理，以降低术前发病率和死亡率。我们提倡麻醉团队尽早参与肥胖患者的术前评估，以进行适当的风险分层并优化护理。
