Perioperative management of obese patients

Kenji L Leonard; Stephen W Davies; Brett H Waibel

doi:10.1016/j.suc.2014.10.008

Perioperative management of obese patients

Surg Clin North Am. 2015 Apr;95(2):379-90. doi: 10.1016/j.suc.2014.10.008. Epub 2015 Jan 9.

Authors

Kenji L Leonard¹, Stephen W Davies², Brett H Waibel³

Affiliations

¹ Division of Trauma and Acute Care Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834, USA.
² Department of Surgery, University of Virginia, School of Medicine, PO Box 800136, Charlottesville, VA 22908, USA.
³ Division of Trauma and Acute Care Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834, USA. Electronic address: brett.waibel@vidanthealth.com.

PMID: 25814113
DOI: 10.1016/j.suc.2014.10.008

Abstract

Obesity prevalence has quadrupled since the 1980s in the United States. It is estimated that 30% of the population is obese or has a body mass index of greater than or equal to 30 as defined by the World Health Organization. Surgeons are likely to engage in the care of obese patients and need to be adept in every aspect of the patients' care in order to have a successful hospital course. There is significant controversy in perioperative management of obese patients. This article discusses perioperative management of obese patients to provide guidelines, education, and discussion of current issues.

Keywords: Bariatric surgery; Metabolic syndrome; Morbid obesity; Obesity; Perioperative management; Postoperative care; Preoperative care; Surgery.

Publication types

Review

MeSH terms

Analgesics / administration & dosage
Anesthetics / administration & dosage
Dose-Response Relationship, Drug
Humans
Obesity / complications*
Obesity / surgery*
Perioperative Care*

Substances

Analgesics
Anesthetics