Anesthetic Management of Laparoscopic Surgery in Obese Patients
Published on: 2018-08-24
Obesity is a situation increasing globally, evaluated as a disease and which creates serious health risks. Obese patients may encounter serious difficulties with mask ventilation and intubation during anesthesia. Body mass index (BMI) is mainly used for the definition of obesity. However, in definition of obesity BMI is insufficient and the fat distribution pattern around the waist line is a better indicator. Obesity causes significant changes in metabolic, cardiovascular and pulmonary functions and these changes increase anesthesia risks. A successful anesthesia method for laparoscopic interventions in obese patients requires coordinated team work involving multiple disciplines and well-designed care. To ensure the best results and reduce complications, it is important to deal with the changed physiology of these types of patients. In this review our aim is to determine an approach to preoperative evaluation, general anesthesia, laparoscopic procedures and postoperative complications and intensive care of obese patients in light of the literature.