肥胖症手术患者的麻醉考量：一篇综述文章
Anesthetic Considerations in Patients Undergoing Bariatric Surgery: A Review Article.
作者信息
Soleimanpour Hassan, Safari Saeid, Sanaie Sarvin, Nazari Mehdi, Alavian Seyed Moayed
机构信息
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Pain Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Anesth Pain Med. 2017 Jul 11;7(4):e57568. doi: 10.5812/aapm.57568. eCollection 2017 Aug.
CONTEXT
This article discusses the anesthetic considerations in patients undergoing bariatric surgery in the preoperative, intraoperative, and postoperative phases of surgery.
EVIDENCE ACQUISITION
This review includes studies involving obese patients undergoing bariatric surgery. Searches have been conducted in PubMed, MEDLINE, EMBASE, Google Scholar, Scopus, and Cochrane Database of Systematic Review using the terms obese, obesity, bariatric, anesthesia, perioperative, preoperative, perioperative, postoperative, and their combinations.
RESULTS
Obesity is a major worldwide health problem associated with many comorbidities. Bariatric surgery has been proposed as the best alternative treatment for extreme obese patients when all other therapeutic options have failed.
CONCLUSIONS
Anesthetists must completely assess the patients before the surgery to identify anesthesia- related potential risk factors and prepare for management during the surgery.
背景
本文讨论了肥胖症患者在减肥手术术前、术中和术后阶段的麻醉注意事项。
证据获取
本综述纳入了涉及接受减肥手术的肥胖患者的研究。使用“肥胖”“肥胖症”“减肥手术”“麻醉”“围手术期”“术前”“术中”“术后”及其组合词，在PubMed、MEDLINE、EMBASE、谷歌学术、Scopus和Cochrane系统评价数据库中进行了检索。
结果
肥胖是一个全球性的主要健康问题，与许多合并症相关。当所有其他治疗选择均失败时，减肥手术已被提议作为极端肥胖患者的最佳替代治疗方法。
结论
麻醉医生必须在手术前对患者进行全面评估，以识别与麻醉相关的潜在危险因素，并为手术期间的管理做好准备。
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