Massive obesity and anesthesia

Obese subjects are at a high risk of cardiovascular, respiratory and thromboembolic diseases. Anaesthetists in charge of these patients must take this risk into account, along with technical problems such as difficult venous punctures and intubations. The supine position alone creates situations tha...

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Bibliographic Details
Published inLa revue du praticien Vol. 43; no. 15; p. 1950
Main Authors Cohen, S, Gondret, R, Mankikian, B
Format Magazine Article
LanguageFrench
Published France 01.10.1993
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Summary:Obese subjects are at a high risk of cardiovascular, respiratory and thromboembolic diseases. Anaesthetists in charge of these patients must take this risk into account, along with technical problems such as difficult venous punctures and intubations. The supine position alone creates situations that can be catastrophic for the respiratory and cardiac functions. In addition, obesity may modify the pharmacokinetics of the often liposoluble drugs used in anaesthesia. From the preoperative to the postoperative phases the anaesthetist's intervention must be envisaged.
ISSN:0035-2640