The patient with obesity and super-super obesity: Perioperative anesthetic considerations
Alan D Kaye, Brock D Lingle, Jordan C Brothers, Jessica R Rodriguez, Anna G Morris, Evan M Greeson, Elyse M CornettSaudi Journal of Anaesthesia 2022 16(3):332-338
Obesity is associated with increased morbidity and mortality related to many complex physiologic changes and the rise worldwide has had far ranging implications in healthcare. According to the World Health Organization, over 2.8 million people die each year from being overweight or obese. Patients who are obese often need surgical procedures or interventional pain procedures and are at higher risk of complications. Patients with super-super obesity are those wit...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Alan D Kaye Brock D Lingle Jordan C Brothers Jessica R Rodriguez Anna G Morris Evan M Greeson Elyse M Cornett Source Type: research
Intraoperative protective lung ventilation strategies in patients with morbid obesity
Konstantin BalonovSaudi Journal of Anaesthesia 2022 16(3):327-331
Postoperative pulmonary complications (PPCs) occur frequently and are associated with a prolonged hospital stay, increased mortality, and high costs. Patients with morbid obesity are at higher risk of perioperative complications, in particular associated with those related to respiratory function. One of the most prominent concerns of the anesthesiologists while taking care of the patient with obesity in the perioperative setting should be the status of the lung and delivery of mechanical ventilation as its strategy affects clinical outcomes. Negative effec...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Konstantin Balonov Source Type: research
Pre-oxygenation and apneic oxygenation in patients living with obesity & #8211; A review of novel techniques
Tomasz Gaszynski, Andrew McKechnieSaudi Journal of Anaesthesia 2022 16(3):322-326
Morbidly obese patients are in the group of patients, who can desaturate fast because of changes in lung volumes and reduction in Functional Residual Capasity due to obesity. There are novel methods to improve preoxygenation and to maintain oxygneation during intubation efforts. In this paper we present methods of apneic oxygenation for morbidly obese patients. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Tomasz Gaszynski Andrew McKechnie Source Type: research
Airway management in patients suffering from morbid obesity
This article describes different techniques and looks at the evidence for airway management in the morbidly obese. Other aspects of perioperative management of such patients are beyond the scope of this article. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Wan Jane Liew Asadi Negar Prit Anand Singh Source Type: research
Physiologic and pharmacologic considerations in morbid obesity and bariatric anesthesia
Kimberley C Brondeel, Alexis C Lakatta, Grant B Torres, Joshua J Hurley, Illan L Kunik, Kaley F Haney, Elyse M Cornett, Alan D KayeSaudi Journal of Anaesthesia 2022 16(3):306-313
Obesity is a growing worldwide health hazard that is characterized by excess malnutrition. Excess food intake leads to dysregulated energy homeostasis and increased adiposity, activating pro-inflammatory physiologic pathways that can contribute to the chronic inflammatory state associated with many chronic illnesses. Obesity is a preventable illness, but its multifaceted etiology, including genetic, behavioral, and environmental variables, is cri...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Kimberley C Brondeel Alexis C Lakatta Grant B Torres Joshua J Hurley Illan L Kunik Kaley F Haney Elyse M Cornett Alan D Kaye Source Type: research
Patients with sleep-disordered breathing for bariatric surgery
Matthew W Oh, Joy L Chen, Tiffany S MoonSaudi Journal of Anaesthesia 2022 16(3):299-305
The prevalence of patients with obesity continues to rise worldwide and has reached epidemic proportions. There is a strong correlation between obesity and sleep-disordered breathing (SDB), and, in particular, obstructive sleep apnea (OSA). OSA is often undiagnosed in the surgical population. Bariatric surgery has been recognized as an effective treatment option for both obesity and OSA. Laparoscopic bariatric procedures, particularly laparoscopic sleeve gastrectomy (LSG), have become the most frequently performed procedures. OSA has b...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Matthew W Oh Joy L Chen Tiffany S Moon Source Type: research
Preoperative preparation and premedication of bariatric surgical patient
Marina Varbanova, Brittany Maggard, Rainer LenhardtSaudi Journal of Anaesthesia 2022 16(3):287-298
The prevalence of obesity has tripled worldwide over the past four decades. The United States has the highest rates of obesity, with 88% of the population being overweight and 36% obese. The UK has the sixth highest prevalence of obesity. The problem of obesity is not isolated to the developed world and has increasingly become an issue in the developing world as well. Obesity carries an increased risk of many serious diseases and health conditions, including type 2 diabetes, heart disease, stroke, sleep...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Marina Varbanova Brittany Maggard Rainer Lenhardt Source Type: research
Launching a new fellowship: Bariatric Anesthesia
Abdelazeem A EldawlatlySaudi Journal of Anaesthesia 2022 16(3):278-286
The dream is now real! We had started thinking of establishing “Bariatric Anesthesia Fellowship” (BAF) program in our setting since 2012. The reason was the increasing number of bariatric surgical cases for weight loss under general anesthesia (GA). The journey till establishing the BAF program consisted of two phases. Phase I started in 2012 to establish clinical practice guidelines (CPG) in “Anesthesia for Patients with Morbid Obesity undergoing weight loss surgery”. Phase II started in 2015 to esta...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Abdelazeem A Eldawlatly Source Type: research
On language & #8211; first, do no harm
Roman SchumannSaudi Journal of Anaesthesia 2022 16(3):276-277 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Roman Schumann Source Type: research
Special issue on & #8220;Bariatric Anesthesia & #8221;
Abdelazeem A EldawlatlySaudi Journal of Anaesthesia 2022 16(3):275-275 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Abdelazeem A Eldawlatly Source Type: research
Dr. Mohammed El Gammal MD 8th November 1951 & #8211;25th January 2022
Ali Al ShoaibySaudi Journal of Anaesthesia 2022 16(2):272-273 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Ali Al Shoaiby Source Type: research
Anesthesia for triggered electromyography-guided cord detethering in a three-month-old infant
Balaji VaithialingamSaudi Journal of Anaesthesia 2022 16(2):270-271 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Balaji Vaithialingam Source Type: research
Calcitonin as an alternative in pain management- present status
Abhijit NairSaudi Journal of Anaesthesia 2022 16(2):269-270 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Abhijit Nair Source Type: research
HACOR score to predict failure of non-invasive ventilation in patients with acute hypoxemic respiratory failure: When simplicity is best
Abhijit Nair, Antonio EsquinasSaudi Journal of Anaesthesia 2022 16(2):267-268 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Abhijit Nair Antonio Esquinas Source Type: research
Bilateral ultrasound-guided continuous cervical erector spinae plane block in suboccipital craniotomy
Amarjeet Kumar, Ajeet Kumar, Chandni Sinha, Vikas Chandra Jha, Gayatri D SagdeoSaudi Journal of Anaesthesia 2022 16(2):266-267 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Amarjeet Kumar Ajeet Kumar Chandni Sinha Vikas Chandra Jha Gayatri D Sagdeo Source Type: research
