Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA -
Minerva Anestesiol. 2018 Nov;84(11):1318-1322. doi: 10.23736/S0375-9393.18.12670-8. Epub 2018 Jun 26.
The rise in obesity prevalence worldwide has presented problems for practitioners treating patients in the ambulatory setting. As more procedures are being performed in office-based suites, anesthesiologists are being asked to provide more anesthesia services for obese patients that may compromise safety. Conventional wisdom associates a higher body-mass index (BMI) with the potential for more adverse outcomes. When combined with the limited resources available in office-based anesthesia (OBA) locations, this prompts anesthesiologists to consider placing limits on BMI. However, not every OBA location is similar, thus contributing to the difficulty in establishing consensus BMI limits. Here, we review literature addressing obesity in ambulatory surgery and point out concerns that anesthesiologists should consider when treating obese patients in an OBA setting.
全球肥胖患病率的上升给在门诊环境中治疗患者的医生带来了问题。随着越来越多的手术在以办公室为基础的套房中进行，麻醉师被要求为可能危及安全的肥胖患者提供更多的麻醉服务。传统观念认为，更高的身体质量指数（BMI）与更多不良结果的可能性相关。当与办公室麻醉（OBA）地点可用的有限资源结合时，这促使麻醉师考虑对 BMI 进行限制。然而，并非每个 OBA 地点都相同，因此难以达成共识 BMI 限制。在这里，我们回顾了关于门诊手术中肥胖的文献，并指出了麻醉师在 OBA 环境中治疗肥胖患者时应考虑的问题。
