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Identifier	Thesis 1930
Author	Pazdrak, Katherine
Title	A Critical Analysis of Obesity and its Anesthetic Considerations
Publisher	Central Connecticut State University
Date	2007
Resource Type	Master's Thesis
Notes	Recently obesity in the United States has reached epidemic proportions. Significant morbidities associated with obesity include coronary artery disease (CAD) and obstructive sleep apnea (OSA). As a result, the growing needs of surgical procedures that are secondary to obesity are being performed more frequently. Obesity is defined as a condition of excessive body fat that has adverse health implications. Body mass index (BMI) is a measure of the relationship between height and weight, and is calculated as BMI = body weight (kg)/height 2 (meters). Anesthesia providers treating obese patients, face a wide range of challenges which affect their decision as to the most appropriate treatment protocol to utilize. Significant alterations of pathophysiology in obesity result in alterations of pharmacodynamics and pharmacokinetics of drugs, therefore affecting anesthetic management. Preoperatively, the objectives are to maximize safety and optimize outcomes in the surgical environment. The preoperative evaluation is should focus on factors contributing to the immediate risks of surgery and anesthesia rather than long-term outcome. Intraoperatively, obese patients need to be monitored with standard equipment, positioned/secured properly to optimize ventilation/oxygenation and prevent injuries, receive adequate fluid replacement, and be maintained in a safe anesthetic environment. Postoperatively, there is a greater need than with nonobese patients to extubate these patients immediately, and to transport them to the recovery area with supplemental oxygen. A high incidence of developing atelectasis exists, and it is recommended that continuous positive airway pressure (CPAP) treatment be started in the recovery area to prevent postoperative acute airway obstruction. Postoperative analgesia management is essential, along with other measures to facilitate a quicker recovery and minimize postoperative complications. The current thesis is a review of literature to identify issues related to obesity including pathophysiology, pharmacology, general and specific bariatic surgical procedures, and anesthetic considerations.
Subject	Obesity -- Surgery Anesthesia
Department	Department of Biology
Advisor	Rollin, Ruth
Type	Text
Digital Format	application/pdf
Language	eng
OCLC number	713733954
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