Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Anesthesia in extreme obesity].

T Schröder1, M Nolte, W J Kox

  • 1Klinik für Anästhesiologie und operative Intensivmedizin, Charité, Campus Mitte, Humboldt-Universität zu Berlin. torsten.schroeder@charite.de

Herz
|June 21, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The graded effect of propofol in electrophysiology-guided navigation during deep brain stimulation surgery.

NPJ Parkinson's disease·2026
Same author

Distinct diurnal temperature rhythm patterns in critical illness myopathy: secondary analysis of two prospective trials.

Annals of intensive care·2025
Same author

The Surface-Topography Challenge: A Multi-Laboratory Benchmark Study to Advance the Characterization of Topography.

Tribology letters·2025
Same author

Pop-up Langmuir probe diagnostic in the water cooled divertor of Wendelstein 7-X.

The Review of scientific instruments·2024
Same author

End-of-life practices in 11 German intensive care units : Results from the ETHICUS-2 study.

Medizinische Klinik, Intensivmedizin und Notfallmedizin·2022
Same author

Peri- and intraoperative EEG signatures in newborns and infants.

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology·2021
Same journal

[Advancing cardiovascular prevention : Evidence-based design of healthy and sustainable food environments].

Herz·2026
Same journal

[Effects of air pollution on cardiovascular health].

Herz·2026
Same journal

[Heart and climate].

Herz·2026
Same journal

Multidimensional psychosocial screening in routine cardiac care: preliminary findings from a cross-sectional survey.

Herz·2026
Same journal

[Noise and the heart].

Herz·2026
Same journal

[The cardiovascular exposome: areas of action for prevention and practical cardiology].

Herz·2026
See all related articles

Morbidly obese patients face higher risks during anesthesia and surgery, including cardiopulmonary issues and airway difficulties. Individualized perioperative care and intensive monitoring are crucial for reducing complications and improving outcomes.

Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Critical Care Medicine
  • Bariatric Medicine

Context:

  • Morbidly obese patients (BMI > 35 kg/m2) represent 1-2% of anesthetized individuals, with a significantly elevated perioperative mortality risk (up to 20%).
  • These patients are prone to cardiopulmonary dysfunction, difficult airway management (13-20%), rapid desaturation, obstructive sleep apnea syndrome (50%), atelectasis (5%), and pulmonary embolism (5-12%).

Purpose:

  • To outline individualized perioperative management strategies for morbidly obese patients.
  • To highlight the importance of modern anesthetic agents and vigilant monitoring for patient safety.
  • To emphasize the role of intensive care unit (ICU) admission and interdisciplinary approaches in managing postoperative complications.

Summary:

  • Individualized perioperative management, informed by preoperative assessment, is essential for morbidly obese patients.

Related Experiment Videos

  • Modern anesthetic drugs (desflurane, sevoflurane, propofol, remifentanil) facilitate rapid recovery and early mobilization.
  • Intra-arterial blood pressure monitoring and blood gas analyses enhance safety. Postoperative ICU admission is indicated for inadequate gas exchange, requiring an interdisciplinary approach to mitigate risks.

    • Impact:

    • Optimized perioperative care can significantly reduce the high mortality and morbidity associated with anesthesia in morbidly obese patients.
    • Implementing advanced monitoring and tailored anesthetic techniques improves patient safety and recovery.
    • An interdisciplinary strategy, including potential ICU admission, is vital for managing complex postoperative pulmonary issues in this population.