Liew Wan Jane, Negar Asadi, Singh Prit Anand
Department of Anaesthesiology, Singapore General Hospital, Singapore.
Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore.
Saudi J Anaesth. 2022 Jul-Sep;16(3):314-321. doi: 10.4103/sja.sja_90_22. Epub 2022 Jun 20.
Obesity is no longer a disease of the affluent. The prevalence of obesity has risen at an exponential rate globally, with an increasing burden on healthcare resources. Perioperative management of patients with morbid obesity is known to be challenging, and this is particularly so in the management of their airway, a crucial procedure that requires meticulous planning and modifications. Anesthesiologists will expect to see more patients with obesity in their practice presenting for both bariatric and non-bariatric surgery, or even for emergency surgery. Hence, any generalist anesthesiologist should be confident in managing such a patient, with the appreciation that these patients often pose a significant challenge to the practice of anesthesia. This article describes different techniques and looks at the evidence for airway management in the morbidly obese. Other aspects of perioperative management of such patients are beyond the scope of this article.
肥胖不再是富裕人群的疾病。全球肥胖患病率呈指数级上升,给医疗资源带来了日益沉重的负担。众所周知,病态肥胖患者的围手术期管理具有挑战性,在气道管理方面尤为如此,这是一个需要精心规划和调整的关键步骤。麻醉医生在其临床工作中将会遇到更多肥胖患者,他们既会接受减肥手术和非减肥手术,甚至还会接受急诊手术。因此,任何普通麻醉医生都应该有信心管理这类患者,同时要认识到这些患者往往给麻醉工作带来重大挑战。本文介绍了不同的技术,并探讨了病态肥胖患者气道管理的相关证据。这类患者围手术期管理的其他方面不在本文讨论范围内。