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肥胖患者的紧急情况:对英国肥胖与体重管理协会的回应

Emergency in obese patients: a reply to SOBA UK.

作者信息

Di Giacinto Ida, Guarnera Martina, Esposito Clelia, Falcetta Stefano, Cortese Gerardo, Pascarella Giuseppe, Sorbello Massimiliano, Cataldo Rita

机构信息

Unit of Anesthesia and Intensive Care, Mazzoni Hospital, Ascoli Piceno, Italy.

Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Sant'Orsola-Malpighi - Alma Mater Studiorum, Bologna, Italy.

出版信息

J Anesth Analg Crit Care. 2022 Mar 17;2(1):12. doi: 10.1186/s44158-022-00040-z.

Abstract

Emergency settings in obese people require tailored multidisciplinary protocols and pathways to manage these complex patients. For this reason, we would like to foresee a proficient cooperation with the UK Society for Obesity and Bariatric Anaesthesia (SOBA) and other societies: obesity is a worldwide problem, and an international and multidisciplinary cooperation is desirable, if not needed. As demonstrated for bariatric surgery, a standardizing anesthesiologic and critical approach and an experienced multidisciplinary staff, trained and equipped to manage obese patients, are related to better outcomes. Similarly, as recently pointed out for airway management safety, we believe that the presence of an obese lead should be a desirable goal to reach in the next future, especially when thinking of emergency situations and the need for resuscitation of obese patients. A worldwide problem calls for worldwide cooperation.

摘要

肥胖人群的紧急情况处理需要定制化的多学科方案和路径来管理这些复杂的患者。因此,我们希望能与英国肥胖与减重麻醉学会(SOBA)及其他学会进行有效的合作:肥胖是一个全球性问题,即便并非必需,国际多学科合作也是可取的。正如减重手术所证明的,标准化的麻醉和重症治疗方法以及经验丰富、经过培训且配备有管理肥胖患者设备的多学科工作人员,与更好的治疗效果相关。同样,正如最近在气道管理安全方面所指出的,我们认为在不久的将来,配备肥胖症专科负责人应该是一个理想的目标,尤其是在考虑紧急情况和肥胖患者的复苏需求时。全球性问题需要全球合作。

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