Anesthetic Management of the Obese Surgical Patient

Brodsky, Jay B.; Lemmens, Hendrikus J. M.

doi:10.1017/cbo9781139084369

Cited by 12 publications

(7 citation statements)

References 197 publications

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“…A large amount of gastric contents, gastroesophageal reflux disease and hiatal hernia also contribute to gastric content aspiration (Brodsky J. and Lemmens H. 2011). In this patient, no history or postmortem evidences suggestive of gastroesophageal reflux disease and hiatal hernia were found.…”

Section: Discussionmentioning

confidence: 60%

Choking together with aspiration of gastric contents: rare form of maternal death

Vadysinghe

Nayakarathne

Banda³

et al. 2022

Egypt J Forensic Sci

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Background The common causes of early postpartum maternal deaths are cardiomyopathies, obstetric hemorrhage, hypertensive disorders, and sepsis. However, a maternal death from choking together with aspiration of gastric contents is a rare occurrence to be diagnosed at the autopsy examination. Case presentation A 27-year-old previously healthy lady developed breathlessness 48 h after delivery, while on supine position, 1 h after meals, and pronounced death on admission. Autopsy was insignificant except for large amount of gastric contents in the air ways. Microscopic examination revealed bronchioles filled with eosinophilic materials and a significant number of neutrophil infiltrations at the margin. Alveoli were free from edema fluid and inflammatory cells. Some alveoli were expanded with broken septae. Cause of death was airway obstruction due to choking together with aspiration of gastric contents. Conclusions Aspiration of gastric contents can cause sudden unexpected death at postpartum, and it is recommended to educate immediate and early postpartum mothers regarding the risk of aspiration.

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Section: Discussionmentioning

confidence: 60%

Choking together with aspiration of gastric contents: rare form of maternal death

Vadysinghe

Nayakarathne

Banda³

et al. 2022

Egypt J Forensic Sci

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“…Hipertansiyon, dislipidemi ve insülin direnci kardiovasküler hastalıkların habercisidirler. 8,9 Lia ve ark. 10 yaptıkları araştırmada postoperatif ağrı oranını obstrüktif uyku apnesi olan hastalarda %44, bu problemi olmayan hastalarda ise %28 olarak tespit etmişlerdir.…”

Section: Hastalarımız Ve öZellikleriunclassified

One a day surgery anesthesia in dentistry

Noyan¹

2018

Yeditepe J Dent

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Diş Hekimleri her zaman korkan veya mental özürlü hastaları tedavi ederler. Bu hastalar çok dikkatli seçilmelidir çünkü yandaş hastalıkları da vardır. Günübirlik anestezi uygun fiyat ve kolay çözümler içerdiğinden ve güvenli olmasından dolayı tercih edilir yöntemdir. Bu yöntemi uygulayacak ekip ve ekipman akredite edilmiş olmalıdır. Ekip elemanları mutlaka diş hekimliğinde günübirlik anestezi konusunda bilimsel gelişmeleri izlemelidir. Hastaların anestezi öncesi değerlendirilmesinde günübirlik anestezi ekibi hastalarla iyi iletişim kurmalı ve hastanın sıkıntılarını anlama açısından etkili olmalıdır. Bu makalenin amacı, genel anestezinin diş hastalıklarını nasıl etkilediğinin anlaşılması için bir temel oluşturmak ve diş sağlığı çalışanlarına yardımcı olmaktır. Anahtar kelimeler: Genel anestezi, sedasyon, ağız, diş ve çene cerrahisi SUMMARY Dentists always treat frightened and mentally disabled patients. These patients have contagious disease as they have been chosen carefully. One a day anaesthesia offers reasonable price and convenient solutıons. The patients prefer this popular method increasingly because of patients safety. For thıs process We are accredited team with reliable equipments. These two perfecting each other. The team must follow scientific devolopments about anaesthesia in dental disease. Accurate patient evaluation requires effective communication with patients by ensuring complete patient comprehension by questions, enhanced listening skill of the doctor and efective team communication. The aim of this article is to provide a basis for the understanding of how general anaesthesia influence dental disease and to help dental health workers.

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“…Iako se smatra da pretile osobe imaju brže pražnjenje želudca, vjerojatno zbog većeg volumena samog želudca gotovo uvijek imaju zaostaloga želučanog sadržaja te uz povećani tlak u trbušnoj šupljini imaju povišen rizik od aspiracije želučanog sadržaja tijekom uvoda u anesteziju 4 . Osim toga, ventilacija nomic and psychic disorders and significantly reduces quality of life and expected lifespan 1 .…”

Section: Utjecaj Na Probavni Sustav I Funkciju Jetreunclassified

“…Od volatilnih anestetika za održava-nje anestezije treba upotrebljavati anestetike sa slabijom topljivošću u lipidima jer oni omogućuju brzo postizanje odgovarajuće dubine anestezije i brže buđenje i oporavak nakon završena operacijskog zahvata. Potentni volatilni anestetici kao što su sevofluran, desfluran i izofluran sigurni su za održavanje anestezije 4 .…”

Section: Izbor Anestezije U Pretilih Osobaunclassified

Specific issues in anesthesia of obese patients

Adam

Važanić

Prkačin

2017

Cardiologia Croatica

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posebnosti anestezije pretilih bolesnika Specific issues in anesthesia of obese patients SAŽETAK: Liječenje pretilosti zahtijeva multidisciplinarni pristup koji uključuje niz dijetetskih mjera, promjenu životnih navika, fizičku aktivnost te upotrebu različitih lijekova. Većina spomenutih mjera, međutim, rezultira ograničenim i kratkotrajnim gubitkom tjelesne mase, što je jedan od razloga zbog kojeg se danas sve više pristupa kirurškom liječenju ili barijatričkoj kirurgiji. Barijatrične su operacije postupci kojima se mijenjaju kapacitet i anatomija probavnog sustava i preporučene su kao metode liječenja pretilosti u osoba s BMI većim od 40 kg/m 2 ili u osoba s BMI većim od 35 kg/m 2 uz pridružene bolesti kao što su arterijska hipertenzija, šećerna bolesti ili kardiorespiracijski poremećaji. SUMMARY:The treatment of obesity requires an interdisciplinary approach that includes a wide range of dietary measures, changes in life habits, physical activity, and the use of various medications. Most of these measures, however, only result in a limited and temporary loss of body mass, which is one of the reasons for an increasing tendency towards resorting to surgical treatment or bariatric surgery. Bariatric procedures change the capacity and anatomy of the digestive system and are recommended as treatment for obesity in persons with a BMI above 40 kg/m 2 or persons with a BMI above 35 kg/m 2 with concomitant diseases such as arterial hypertension, diabetes, or cardiorespiratory disorders.KLJUČNE RIJEČI: pretilost, anestezija, kirurško liječenje.

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Anesthetic Management of the Obese Surgical Patient

Cited by 12 publications

References 197 publications

Choking together with aspiration of gastric contents: rare form of maternal death

Choking together with aspiration of gastric contents: rare form of maternal death

One a day surgery anesthesia in dentistry

Specific issues in anesthesia of obese patients

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