Erschienen in:
01.08.2015 | Editorials
Fast wake-up time in obese patients: Which anesthetic is best?
verfasst von:
Rita Katznelson, MD, Joseph A. Fisher, MD
Erschienen in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
|
Ausgabe 8/2015
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Excerpt
Obesity has become an epidemic of global proportions with more than a third of the North American population being clinically overweight or obese.
1 Anesthetizing obese patients can often be challenging as they have a higher incidence of comorbidities
2 and an increased risk of a difficult airway.
3 Furthermore, obese patients are prone to intraoperative pulmonary complications
4 and acute upper airway obstruction and aspiration following tracheal extubation at the end of surgery.
5 Obese patients have a higher incidence of sleep apnea and develop hypoxia during the early postoperative period.
6 A faster recovery from anesthesia may decrease these risks by reducing the time patients require to resume control of their spontaneous breathing, restore airway protective reflexes, and regain efficient coughing. …