Airways and respiratory function in obese patients. Anaesthetic and intensive care aspects and recommendations;Atemwege und respiratorische funktion bei adipositas. Anä sthesiologische und intensivmedizinische aspekte und empfehlungen

Anaesthesist

Volumn 54, Issue 7, 2005, Pages 715-728

  Reber, A ^a,b  

^a Spital Zollikerberg ^*  (Switzerland)

^b Klinik fur Anasthesiologie und Intensivmedizin   (Switzerland)

Author keywords

Airway protection; Anaesthetic management; Obese patients; Preoperative risk of pulmonary complications; Pulmonary protection

Indexed keywords

ANESTHETIC AGENT; BENZODIAZEPINE; NEUROMUSCULAR BLOCKING AGENT; OPIATE; SEDATIVE AGENT; SUXAMETHONIUM;

ANESTHESIST; ATELECTASIS; ENDOTRACHEAL INTUBATION; EPIDURAL ANESTHESIA; HUMAN; INTENSIVE CARE; LAPAROSCOPIC SURGERY; LUNG DISEASE; MORBIDITY; MORTALITY; OBESITY; OBSTETRIC ANESTHESIA; PATIENT CARE; PEDIATRIC ANESTHESIA; PERIOPERATIVE PERIOD; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; RESPIRATORY FUNCTION; RESPIRATORY SYSTEM; REVIEW; RISK ASSESSMENT; SLEEP APNEA SYNDROME; SURGICAL TECHNIQUE;

ADULT; AIRWAY OBSTRUCTION; AIRWAY RESISTANCE; ANESTHESIA; ANESTHESIA, OBSTETRICAL; CHILD; FEMALE; HUMANS; INTENSIVE CARE; OBESITY; POSTOPERATIVE COMPLICATIONS; PREGNANCY; RESPIRATORY FUNCTION TESTS; RESPIRATORY PHYSIOLOGY; RISK ASSESSMENT;

EID: 23844431577     PISSN: 00032417     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00101-005-0872-8     Document Type: Review

References (21)

1. Berger MM, Gust R (2005) Perioperative Evaluation der Lungenfunktion. Anaesthesist 54:273-288
2. Brooks-Brunn JA (1997) Predictors of postoperative pulmonary complications following abdominal surgery. Chest 111:564-571
3. Coussa M, Proietti S, Schnyder P et al. (2004) Prevention of atelectasis formation during the induction of general anesthesia in morbidly obese patients. Anesth Analg 98:1491-1495
4. Damia G, Mascheroni D, Croci M, Tarenzi L (1988) Perioperative changes in functional residual capacity in morbidly obese patients. Br J Anaesth 60:574-578
5. Eichenberger AS, Proietti S, Wicky S et al. (2002) Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg 95:1788-1792
6. Hartmann B, Junger A, Klasen J (2005) Anästhesie und Schlaf-Apnoe-Syndrom. Anaesthesist 54 (im Druck)
7. Horner RL, Mohiaddin RH, Lowell DG et al. (1989) Sites and sizes of fat deposits around the pharynx in obese patients with obstructive sleep apnoea and weight matched controls. Eur Respir J 2:613-622
8. Isono S, Tanaka A, Tagaito Y et al. (1997) Pharyngeal patency in response to advancement of the mandible in obese anesthetized persons. Anesthesiology 87:1055-1062
9. Lawrence VA, Dhanda R, Hilsenbeck SG, Page CP (1996) Risk of pulmonary complications after elective abdominal surgery. Chest 110:744-750
10. Pelosi P, Croci M, Ravagnan I et al. (1998) The effects of body mass and lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesth Analg 87:654-660
11. Pelosi P, Ravagnan I, Giurati G et al. (1999) Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 91:1221-1231
12. Reber A, Ursprung T (2003) Kataraktoperation bei einem Patienten mit schwerem obstruktivem Schlafapnoesyndrom. Anaesthesist 52:1027-1030
13. Shenkman Z, Shir Y, Brodsky JB (1993) Perioperative management of the obese patient. Br J Anaesth 70:349-359
14. Smetana G (1999) Current concepts: preoperative pulmonary evaluation. N Engl J Med 340:937-944
15. Smith HL, Meldrum DJ, Brennan LJ (2002) Childhood obesity: a challenge fort he anaesthetist? Paediatr Anaesth 12:750-761
16. Sprung J, Whalley DG, Falcone T et al. (2003) The effects of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesth Analg 97:268-274
17. Von Ungern-Sternberg BS, Regli A, Reber A, Schneider MC (2005) A comparison of perioperative spirometric data following spinal or general anaesthesia in normal-weight and overweight gynaecological patients. Acta Anaesthesiol Scand 49 (in press)
18. Von Ungern-Sternberg BS, Regli A, Reber A, Schneider MC (2005) Effect of obesity and thoracic epidural analgesia on perioperative spirometry. Br J Anaesth 94:121-127
19. Von Ungern-Sternberg BS, Regli A, Schneider MC et al. (2004) Effect of obesity and site of surgery on perioperative lung volumes. Br J Anaesth 92:202-207
20. Voyagis GS, Kyriakis KP, Dimitriou V, Vrettou I (1998) Value of oropharyngeal Mallampati classification in predicting difficult laryngoscopy among obese patients. Europ J Anaesthesiol 15:330-334
21. Walther A, Bardenheuer HJ (2001) Das Schlaf-Apnoe-Syndrom. Anaesthesist 50:295-308