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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.

DOI:10.5812/aapm.57568
PMID:29430407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5797674/
Abstract

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.

摘要

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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本文引用的文献

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The effect of gabapentin on reducing pain after laparoscopic gastric bypass surgery in patients with morbid obesity: a randomized clinical trial.加巴喷丁对病态肥胖患者腹腔镜胃旁路手术后疼痛减轻的影响:一项随机临床试验。
Anesth Pain Med. 2015 Feb 1;5(1):e22372. doi: 10.5812/aapm.22372. eCollection 2015 Feb.
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Postoperative pain management.术后疼痛管理
Anesth Pain Med. 2011 Jul;1(1):6-7. doi: 10.5812/kowsar.22287523.1810. Epub 2011 Jul 1.
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Pharmacological management of obesity: an endocrine Society clinical practice guideline.肥胖的药物治疗:内分泌学会临床实践指南
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Effect of oral pregabalin premedication on post-operative pain in laparoscopic gastric bypass surgery.口服普瑞巴林术前用药对腹腔镜胃旁路手术术后疼痛的影响。
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Airway management and morbid obesity.气道管理与病态肥胖。
Eur J Anaesthesiol. 2010 Nov;27(11):923-7. doi: 10.1097/EJA.0b013e32833d91aa.
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Update on best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery, 2004-2007.2004 - 2007年减肥手术围手术期麻醉护理与疼痛管理最佳实践建议的更新
Obesity (Silver Spring). 2009 May;17(5):889-94. doi: 10.1038/oby.2008.569. Epub 2009 Feb 19.
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