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Considerations in treating obese patients in office-based anesthesia
1Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA - jwlee27@wisc.edu.
Minerva Anestesiologica
|June 28, 2018
Summary
Obesity in ambulatory surgery poses challenges for anesthesiologists. This review examines safety concerns and body mass index (BMI) considerations for obese patients undergoing office-based anesthesia (OBA).
Area of Science:
- Anesthesiology
- Ambulatory Surgery
- Public Health
Background:
- Rising global obesity prevalence impacts patient care in ambulatory settings.
- Anesthesia services for obese patients in office-based suites raise safety concerns.
- Higher body mass index (BMI) is conventionally linked to increased adverse outcomes.
Purpose of the Study:
- To review literature on obesity in ambulatory surgery.
- To identify key concerns for anesthesiologists treating obese patients in office-based anesthesia (OBA) settings.
- To discuss the challenges in establishing consensus BMI limits for OBA.
Main Methods:
- Literature review of studies on obesity and ambulatory surgery.
- Analysis of safety considerations for obese patients.
- Examination of factors influencing BMI limits in OBA.
Main Results:
- Obesity presents unique challenges for anesthesia in ambulatory settings.
- Limited resources in OBA locations necessitate careful consideration of patient BMI.
- Variability in OBA facilities complicates the establishment of universal BMI limits.
Conclusions:
- Anesthesiologists must carefully consider patient BMI when providing OBA.
- Further research is needed to establish evidence-based guidelines for obese patients in OBA.
- Tailoring anesthetic care to individual patient needs and OBA capabilities is crucial.
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