Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2009
Review[Special anaesthesiological requirements in bariatric surgery].
Obesity is a growing healthcare problem in all industrial countries, which occurs with increasing frequency in young people and indicates bariatric surgery. Obesity increases the risk for pulmonary and cardiovasculary side effects and also the anaesthesiologist is confronted with significantly more problems when the patient is overweight and obese. The present review focuses on the surgical techniques and the anaesthetic implications of bariatric surgery.
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The incidence of overweight and obesity in children and adolescents who need an anesthesia is increasing. These children have a higher risk for perioperative complications. The review discusses definition and causes of obesity in children, gives information about relevant pathophysiological changes, and focuses anesthesiological management and complications.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2009
Review[Anaesthesia management of the obese patient].
Obesity is a global epidemic, and approximately 20 % of the German population are obese. Therefore anaesthesiologists will be increasingly involved in the care of obese and morbidly obese patients in the near future. ⋯ Comorbidities such as diabetes, hypertension, coronary heart disease and sleep apnea considerably increase the risk of obese patients. A thorough preoperative evaluation of comorbidities, an anaesthesia induction and intraoperative ventilation tailored to the pathophysiological sequelae of obesity and a sound knowledge of pharmokocinetics are necessary to ensure optimal care for obese patients.