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肥胖症患者的麻醉

Anesthesia for the Morbidly Obese Patient.

作者信息

Sharma Surangama, Arora Lovkesh

机构信息

Department of Anesthesia, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 6417-JCP, Iowa City, IA 52242, USA.

Department of Anesthesia, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 6413-JCP, Iowa City, IA 52242, USA.

出版信息

Anesthesiol Clin. 2020 Mar;38(1):197-212. doi: 10.1016/j.anclin.2019.10.008. Epub 2020 Jan 2.

Abstract

Obesity is considered a major comorbidity, and it is imperative for an anesthesiologist to put increased emphasis on preoperative evaluation and perioperative management. A multidisciplinary team approach is the key for a successful outcome. This article encompasses basic tenets like pathophysiology and pharmacology pertaining to obesity. The authors also talk about important aspects of anesthesia care starting from preoperative assessment and optimization, intraoperative challenges and care, to recovery and discharge of these patients.

摘要

肥胖被视为一种主要的合并症,麻醉医生必须更加重视术前评估和围手术期管理。多学科团队协作方法是取得成功结果的关键。本文涵盖了与肥胖相关的病理生理学和药理学等基本原则。作者还讨论了麻醉护理的重要方面,从术前评估和优化、术中挑战与护理,到这些患者的恢复和出院。

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