Ambulatory anesthesia for the obese patient

Current Opinion in Anaesthesiology

Volumn 19, Issue 6, 2006, Pages 597-599

  Servin, Frédérique ^a  

^a BICHAT HOSPITAL   (France)

Author keywords

Bariatric surgery; Obese; Outpatient; Perioperative risk

Indexed keywords

ALFENTANIL; DESFLURANE; FENTANYL; PROPOFOL; REMIFENTANIL; SEVOFLURANE; SUFENTANIL; VOLATILE AGENT;

AIRWAY; AMBULATORY CARE; AMBULATORY SURGERY; ANESTHESIA; BARIATRIC SURGERY; COLON PERFORATION; CORONARY ARTERY DISEASE; DEEP VEIN THROMBOSIS; DIABETES MELLITUS; ELECTIVE SURGERY; FEASIBILITY STUDY; GASTRIC BANDING; GENERAL ANESTHESIA; HUMAN; HYPERTENSION; MORBID OBESITY; OCCLUSION; OUTPATIENT CARE; PATHOPHYSIOLOGY; PATIENT SAFETY; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; REGIONAL ANESTHESIA; REVIEW; SLEEP APNEA SYNDROME; SURGICAL PATIENT; SURGICAL RISK; THROMBOSIS PREVENTION; WOUND INFECTION;

AMBULATORY SURGICAL PROCEDURES; ANESTHESIA, CONDUCTION; ANESTHESIA, GENERAL; BARIATRIC SURGERY; GASTRIC BYPASS; HUMANS; INTUBATION, INTRATRACHEAL; OBESITY; PERIOPERATIVE CARE; PRACTICE GUIDELINES; RESPIRATION DISORDERS; RISK ASSESSMENT; TREATMENT FAILURE; VENOUS THROMBOSIS;

EID: 33750855577     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e328010cb78     Document Type: Review

References (11)

1. Bryson GL, Chung F, Cox RG, et al. Patient selection in ambulatory anesthesia - an evidence-based review: part II. Can J Anaesth 2004; 51: 782-794.
2. Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg 2003; 97:595-600.
3. Juvin P, Fevre G, Merouche M, et al. Gastric residue is not more copious in obese patients. Anesth Analg 2001; 93:1621-1622.
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6. Strum EM, Szenohradszki J, Kaufman WA, et al. Emergence and recovery characteristics of desflurane versus sevoflurane in morbidly obese adult surgical patients: a prospective, randomized study. Anesth Analg 2004; 99:1848-1853.
7. Scott LJ, Perry CM. Remifentanil: a review of its use during the induction and maintenance of general anaesthesia. Drugs 2005; 65:1793-1823.
8. Shibutani K, Inchiosa MA Jr, Sawada K, et al. Accuracy of pharmacokinetic models for predicting plasma fentanyl concentrations in lean and obese surgical patients: derivation of dosing weight ('pharmacokinetic mass'). Anesthesiology 2004; 101:603-613.
9. Slepchenko G, Simon N, Goubaux B, et al. Performance of target-controlled sufentanil infusion in obese patients. Anesthesiology 2003; 98:65-73.
10. Nielsen KC, Guller U, Steele SM, et al. Influence of obesity on surgical regional anesthesia in the ambulatory setting: an analysis of 9038 blocks. Anesthesiology 2005; 102:181-187. Regional anesthesia is considered difficult in obese patients. This retrospective analysis demonstrates the real failure rate in this population and its consequences.
11. Watkins BM, Montgomery KF, Ahroni JH, et al. Adjustable gastric banding in an ambulatory surgery center. Obes Surg 2005; 15:1045-1049. Gastric banding is one of the most frequent surgical procedures proposed for obese patients. This study presents data on its applicability in the ambulatory setting.