Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures
Obesity is a worldwide health problem affecting 34% of the American population. As a result, more patients requiring anesthesia for thoracic surgery will be overweight or obese. Changes in static and dynamic respiratory mechanics, upper airway anatomy, as well as multiple preoperative comorbidities...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/154208 |
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| _version_ | 1849435010127364096 |
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| author | Alessia Pedoto |
| author_facet | Alessia Pedoto |
| author_sort | Alessia Pedoto |
| collection | DOAJ |
| description | Obesity is a worldwide health problem affecting 34% of the American population. As a result, more patients requiring anesthesia for thoracic surgery will be overweight or obese. Changes in static and dynamic respiratory mechanics, upper airway anatomy, as well as multiple preoperative comorbidities and altered drug metabolism, characterize obese patients and affect the anesthetic plan at multiple levels. During the preoperative evaluation, patients should be assessed to identify who is at risk for difficult ventilation and intubation, and postoperative complications. The analgesia plan should be executed starting in the preoperative area, to increase the success of extubation at the end of the case and prevent reintubation. Intraoperative ventilatory settings should be customized to the changes in respiratory mechanics for the specific patient and procedure, to minimize the risk of lung damage. Several non invasive ventilatory modalities are available to increase the success rate of extubation at the end of the case and to prevent reintubation. The goal of this review is to evaluate the physiological and anatomical changes associated with obesity and how they affect the multiple components of the anesthetic management for thoracic procedures. |
| format | Article |
| id | doaj-art-e4de50f9b5e241609d119357c7372206 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-e4de50f9b5e241609d119357c73722062025-08-20T03:26:26ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/154208154208Lung Physiology and Obesity: Anesthetic Implications for Thoracic ProceduresAlessia Pedoto0Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, Rm M301, New York, NY 10065, USAObesity is a worldwide health problem affecting 34% of the American population. As a result, more patients requiring anesthesia for thoracic surgery will be overweight or obese. Changes in static and dynamic respiratory mechanics, upper airway anatomy, as well as multiple preoperative comorbidities and altered drug metabolism, characterize obese patients and affect the anesthetic plan at multiple levels. During the preoperative evaluation, patients should be assessed to identify who is at risk for difficult ventilation and intubation, and postoperative complications. The analgesia plan should be executed starting in the preoperative area, to increase the success of extubation at the end of the case and prevent reintubation. Intraoperative ventilatory settings should be customized to the changes in respiratory mechanics for the specific patient and procedure, to minimize the risk of lung damage. Several non invasive ventilatory modalities are available to increase the success rate of extubation at the end of the case and to prevent reintubation. The goal of this review is to evaluate the physiological and anatomical changes associated with obesity and how they affect the multiple components of the anesthetic management for thoracic procedures.http://dx.doi.org/10.1155/2012/154208 |
| spellingShingle | Alessia Pedoto Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures Anesthesiology Research and Practice |
| title | Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures |
| title_full | Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures |
| title_fullStr | Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures |
| title_full_unstemmed | Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures |
| title_short | Lung Physiology and Obesity: Anesthetic Implications for Thoracic Procedures |
| title_sort | lung physiology and obesity anesthetic implications for thoracic procedures |
| url | http://dx.doi.org/10.1155/2012/154208 |
| work_keys_str_mv | AT alessiapedoto lungphysiologyandobesityanestheticimplicationsforthoracicprocedures |