Related Experiment Video
Updated: Jun 22, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
[Anesthesia for morbid obesity.]
Michelle Nacur Lorentz1, Viviane Ferreira Albergaria, Frederico Augusto Soares de Lima
1Hospital da UNIMED.
Revista Brasileira De Anestesiologia
|May 26, 2009
Summary
Managing morbid obesity requires comprehensive perioperative care. This involves careful planning, multidisciplinary teams, and specialized approaches for anesthesia and surgery to minimize complications in obese patients.
Area of Science:
- Anesthesiology
- Bariatric Surgery
- Obesity Medicine
Context:
- Morbid obesity is a widespread epidemic, particularly in the United States.
- Obese patients exhibit unique physiopathological changes and comorbidities requiring specialized medical attention.
- Gastric reduction surgeries are common, presenting distinct perioperative challenges for anesthesiologists.
Purpose:
- To highlight the multifaceted nature of morbid obesity beyond excess weight.
- To outline essential management strategies for anesthesiologists and healthcare facilities.
- To describe optimal pre, intra, and postoperative care protocols for obese patients undergoing surgery.
Summary:
- Physiopathological changes, epidemiological data, and associated diseases in morbidly obese patients are detailed.
- Anesthetic drug dosages and perioperative management strategies are reviewed.
- The importance of a multidisciplinary team approach for successful patient outcomes is emphasized.
Impact:
- Care for morbidly obese patients necessitates meticulous planning from selection through postoperative recovery.
- Postoperative pulmonary, cardiovascular, and infectious complications are more prevalent in obese individuals.
- A collaborative team including Internal Medicine, Anesthesiology, Surgery, Nursing, Psychology, Physical Therapy, Nutrition, and Intensive Care is crucial for optimal results.
Related Concept Videos
01:24General Anesthesia: Overview
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
01:22Stages of General Anesthesia
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
01:24Parenteral Anesthetics: Overview
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:20Inhalational Anesthetics: Overview
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...