Challenges in perioperative management of morbidly obese patients: How to prevent complications;Desafios no manuseio peri-operatório de pacientes obesos mórbidos: Como prevenir complicações

Revista Brasileira de Anestesiologia

Volumn 53, Issue 2, 2003, Pages 227-236

  Costa Auler Jr , José Otávio ^a   Galvão Giannini, Cindy ^a   Fernandes Saragiotto, Daniel ^a  

^a UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Anesthesia, general; Diseases: morbid obesity; Surgery, general: bariatric

Indexed keywords

ANESTHETIC AGENT;

ABDOMINAL PRESSURE; ANESTHESIOLOGICAL TECHNIQUES; ANTHROPOMETRY; ARTICLE; BODY WEIGHT; DISEASE SEVERITY; DRUG DISTRIBUTION; ELECTROCARDIOGRAM; GASTROPLASTY; HEART FUNCTION; HEART LEFT VENTRICLE FAILURE; HEART LEFT VENTRICLE HYPERTROPHY; HEART OUTPUT; HUMAN; LUNG BLOOD VOLUME; LUNG CLEARANCE; LUNG RESISTANCE; METABOLIC RATE; OBESITY; OXYGEN CONSUMPTION; PERIOPERATIVE PERIOD; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; TIDAL VOLUME;

EID: 17644446368     PISSN: 00347094     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (53)

1. Naslund E, Backman L, Granstrom L et al - Seven year results of vertical banded gastroplasty for morbid obesity. Eur J Surg, 1997;163:281-286.
2. Buckley FP - Anesthesia for the morbidly obese patient. Can J Anaesth, 1994;41:94-100.
3. Amaral CRT, Cheibub ZB - Obesidade mórbida: implicações anestésicas. Rev Bras Anestesiol, 1991;41:273-279.
4. Braga AFA, Silva ACM, Cremonesi E - Obesidade mórbida: considerarções clinicas e anestésicas. Rev Bras Anestesiol, 1999;49:201-212.
5. Lins AAA, Barbosa MSA, Brodsky JB - Anestesia para gastroplastia no paciente obeso. Rev Bras Anestesiol, 1999;49: 282-287.
6. Oliveira Filho GR, Nicolodi THC, Garcia JHS et al - Problemas clínicos pré-anestésicos de pacientes morbidamente obesos submetidos a cirurgias bariátricas: comparação com pacientes não obesos. Rev Bras Anestesiol, 2002;52:217-222.
7. McGinnis JM, Foege WH - Actual causes of death in the United States. JAMA, 1993;270:2207-2212.
8. Brolin RE - Update: NIH consensus conference. Gastrointestinal surgery for severe obesity. Nutrition, 1996;12:403-404.
9. Domínguez-Cherit G, Gonzalez R, Borunda D et al - Anesthesia for morbidly obese patients. World J Surg, 1998;22:969-973.
10. Shenkman Z, Shir Y, Brodsky JB - Perioperative management of the obese patient. Br J Anaesth, 1993;70:349-359.
11. Bray GA - Pathophysiology of obesity. Am J Clin Nutr, 1992;55: 488S-494S.
12. Harrison GG - Height-weight tables. Ann Intern Med, 1985;103: (6pt2):989-994.
13. Ashwell M, Chinn S, Stalley S et al - Female fat distribution: a simple classification based on two circumference measurements. Int J Obes, 1982;6:143-152.
14. Abraham S, Johnson CL- Prevalence of severe obesity in adults in the United States. Am J Clin Nutr, 1980;33:(Suppl2):306-309.
15. De Divitis O, Fazio S, Petitto M et al - Obesity and cardiac function. Circulation, 1981;64:477-482.
16. Laaban JP, Cassuto D, Orvoen-Frija E et al - Cardiorespiratory consequences of sleep apnea syndrome in patients with massive obesity. Eur Respir J, 1998;11:20-27.
17. Kral JG - Morbid obesity and related health risks. Ann Intern Med, 1985;103(6pt2):1043-1047.
18. Dustan HP - Obesity and hypertension. Ann Intern Med, 1985;103(6pt2):1047-1049.
19. Alpert MA, Terry BE, Cohen MV et al - The electrocardiogram in morbid obesity. Am J Cardiol, 2000;85:908-910.
20. Drenick EJ, Fisler JC - Sudden cardiac arrest in morbidly obese surgical patients unexplained after autopsy. Am J Surg, 1988;155:720-726.
21. Alpert MA, Lambert CR, Panayiotou H et al - Relation of duration of morbid obesity to left ventricular mass, systolic function, and diastolic filling, and effect of weight loss. Am J Cardiol, 1995;76:1194-1197.
22. Alpert MA, Lambert CR, Terry BE et al - Influence of left ventricular mass on left ventricular diastolic filling in normotensive morbid obesity. Am Heart J, 1995;130:1068-1073.
23. Alpert MA, Hashimi MW - Obesity and the heart. Am J Med Sci, 1993;306:117-123.
24. Farebrother MJB - Respiratory function and cardiorespiratory response to exercise in obesity. Br J Dis Chest, 1979;73:211.
25. Vaughan RW - Pulmonary and Cardiovascular Derangement's in the Obese Patients, em: Brown BR - Anesthetics and the Obese Patient. Contemporary Anesthesia Pratice Series. FA Davis, Philadelphia, 1982;19.
26. Lopata M, Onal E - Mass loading, sleep apnea, and the pathogenesis of the obesity hypoventilation. Am Rev Respir Dis, 1982;126:640-645.
27. Luce JM - Respiratory complications of obesity. Chest, 1980;78:626-631.
28. Rubisntein I, Zamel N, DuBarry L et al - Airflow limitation in morbidly obese nonsmoking men. Ann Intern Med, 1990;112:828-832.
29. Sharp JT, Henry SK, Sweany WR et al -Total work of breathing in normal and obese men. J Clin Invest, 1964;43:728-739.
30. Naimark A, Cherniack RM - Compliance of the respiratory system and its components in health and obesity. J Appl Physiol, 1960;15:377-382.
31. Suratt PM, Wilhoit CS, Hsiao HS et al - Compliance of chest wall in obese subjects. J Appl Physiol, 1984;57:403-407.
32. Van Lith P, Johnson FN, Sharp JT - Respiratory elastances in relaxed and paralyzed states in normal and abnormal men. J Appl Physiol, 1967;23:475-486.
33. Pelosi P, Croci M, Ravagnan I - Total respiratory system, lung and chest wall mechanics in sedated-paralyzed postoperative morbidly obese patients. Chest, 1996;109:144-151.
34. Pelosi P, Croci M, Ravagnan I et al -The effects of body mass on lung volumes, respiratory mechanics, and gas exchange general anesthesia. Anesth Analg, 1998;87:654-660.
35. Auler Jr JOC, Miyoshi E, Fernandes CR et al - Respiratory system resistance during laparotomy in morbidly obese patients. Am J Respir Crit Care Med, 2000;161(3Pt2):A693.
36. Auler Jr JOC, Miyoshi E, Fernandes CR et al - The effects of abdominal opening on respiratory mechanics during general anesthesia in normal and morbidly obese patients: a comparative study. Anesth Analg, 2002;94:471-478.
37. Hedenstierna G, Santesson J - Breathing mechanics, dead space and gas exchanges in the extremely obese, breathing spontaneously and during anaesthesia with intermittent positive pressure ventilation. Acta Anaesthesiol Scand, 1976;20:248-254.
38. Auler Jr JOC, Fernandes CR, Miyoshi E - Anestesia para gastroplastia no paciente obeso. Rev Bras Anestesiol, 2000;50: 86.
39. Brodsky JB, Lins AAA, Barbosa MAS - Anestesia para gastroplastia no paciente obeso. Rev Bras Anestesiol, 2000;50: 87.
40. Bardoczky GI, Yernault JC, Houben JJ et al - Large tidal volume ventilation does not improve oxygenation in morbidly obese patients during anesthesia. Anesth Analg, 1995;81:385-388.
41. Pelosi P, Ravagnan I, Giurati G et al - Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology, 1999;91:1221-1231.
42. Oberg B, Poulsen TD - Obesity: an anaesthetic challenge. Acta Anaesthesiol Scand, 1996;40:191-200.
43. Dumont L, Mattys M, Mardirosoff C et al - Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients. Acta Anaesthesiol Scand, 1997;41:408-413.
44. Pelosi P, Croci M, Calappi E et al - Prone positioning improves pulmonary function in obese patients during general anesthesia. Anesth Analg, 1996;83:578-583.
45. Fox GS, Whalley DG, Bevan DR - Anaesthesia for the morbidly obese experience with 110 patients. Br J Anaesth, 1981;53: 811-816.
46. Salem MR, Dalal FY, Zygmunt MP et al - Does PEEP improve intraoperative arterial oxygenation in grossly obese patients? Anesthesiology, 1998;48:280-281.
47. Eriksen J, Andersen J, Rasmussen JP - Postoperative pulmonary function in obese patients after upper abdominal surgery. Acta Anaesthesiol Scand, 1977;21:336-341.
48. Söderberg M, Thomson D, White T - Respiratory, circulation and anaesthetic management in obesity. Investigation before and after jejuno-ileal bypass. Acta Anaesthesiol Scand, 1977;21: 55-61
49. Berthoud MC, Peacock JE, Reilly CS - Effectiveness of preoxygenation in morbidly obese patients. Br J Anesth, 1991; 67:464-466.
50. Lee JJ, Larson RH, Buckley JJ - Airway maintenance in the morbidly obese. Anesth Rev, 1980;7:33-37.
51. Buckley PF - Anesthesia and obesity and Gastrointestinal Disorders, em: Barash PG et al - Clinical Anesthesia. Philadelphia, Lippincott-Raven, 1996; 975.
52. Abernethy DR, Greenblatt DJ - Pharmacokinetics of drugs in obesity. Clin Pharmacokinet, 1982;7:108-124.
53. Higuchi H, Satoh T, Arimura S et al - Serum inorganic fluoride levels in mildly obese patients during and after sevoflurane anesthesia. Anesth Analg, 1993;77:1018-1021.