Obesity, Race, and Perioperative Complications

Webber, Audra; Willer, Brittany L.

doi:10.1007/s40140-021-00458-1

Cited by 1 publication

(2 citation statements)

References 74 publications

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“…Multiple studies [6 ▪▪ ,18 ▪ ] have demonstrated that obesity is overrepresented in the pediatric surgical population. In children, obesity is linked to major comorbidities such as hypertension, Type 2 diabetes mellitus, heart disease, hyperlipidemia, asthma, and SDB/OSA [13 ▪ ]. It is well established that pediatric patients with obesity are at an increased risk for perioperative complications, particularly respiratory complications [19,20].…”

Section: Obesitymentioning

confidence: 99%

“…While every board-certified anesthesiologist should have the skillset to take safe and effective care of pediatric patients for everyday surgeries, there are the dual issues of exposure and experience in everyday practice, coupled with the ever-increasing comorbidities of our pediatric surgical population. As anesthetic and surgical techniques evolve, many children undergoing more complex surgical or diagnostic procedures with previously unacceptable conditions are now deemed appropriate candidates for ambulatory surgery [13 ▪ ].…”

Section: Introductionmentioning

confidence: 99%

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The high-risk pediatric patient for ambulatory surgery

Webber,

Brennan

2023

Current Opinion in Anaesthesiology

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Purpose of review The aim of this article is to briefly review the pediatric ambulatory surgery landscape, identify two of the most common comorbidities affecting this population, examine the influence of pediatric obesity and sleep disordered breathing (SDB)/obstructive sleep apnea (OSA) on perioperative care, and provide information that can be used when formulating site specific criteria for ambulatory surgical centers. Recent findings Most pediatric surgeries performed are now ambulatory, a majority of which take place outside of academic centers. Children with comorbidities such as obesity and SDB/OSA are undergoing surgical or diagnostic procedures which were previously deemed unacceptable for ambulatory surgery. The increase in pediatric ambulatory surgery coupled with a recent shortage of pediatric anesthesiologists means many children will receive anesthesia care from general clinicians who care for children intermittently and may be unfamiliar with the perioperative risks these comorbidities can present. Summary Our pediatric ambulatory surgical population is anticipated to demonstrate increasing rates of obesity and SDB/OSA. Bringing attention to potential perioperative complications associated with these comorbidities provides a stronger foundation upon which to formulate criteria for individual ambulatory centers. It allows for targeted anesthetic management, influences provider assignments and/or staffing ratios, and informs scheduling times. For anesthesiologists who do not practice pediatric anesthesia daily, knowing what to anticipate plays a significant role in the ability to eliminate surprises and care for these patients safely.

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Section: Obesitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%