Perioperative evaluation of the obese patient

被引:20
|
作者
Donohoe, Claire L. [1 ]
Feeney, Ciara [2 ]
Carey, Michael F. [3 ]
Reynolds, John V. [1 ]
机构
[1] St James Hosp, Trinity Coll Dublin, Trinity Ctr Hlth Sci, Dept Surg, Dublin 8, Ireland
[2] St James Hosp, Trinity Coll Dublin, Trinity Ctr Hlth Sci, Dept Physiotherapy, Dublin 8, Ireland
[3] St James Hosp, Trinity Coll Dublin, Trinity Ctr Hlth Sci, Dept Anaesthesiol & Crit Care, Dublin 8, Ireland
关键词
Obesity; Obesity Paradox; BODY-MASS-INDEX; SURGICAL SITE INFECTION; LAPAROSCOPIC COLORECTAL SURGERY; BRAIN NATRIURETIC PEPTIDE; END-EXPIRATORY PRESSURE; VISCERAL ADIPOSE-TISSUE; MORTALITY RISK SCORE; GASTRIC BYPASS; POSTOPERATIVE COMPLICATIONS; METABOLIC SYNDROME;
D O I
10.1016/j.jclinane.2011.06.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
There is rapidly increasing prevalence of obesity throughout Western societies and increasing numbers of patients undergoing surgery are obese. Obesity is a condition of chronic systemic inflammation and is associated with an increased burden of comorbidities. Despite traditional teaching, obesity may not be an independent risk factor for poor postoperative outcomes. The Obesity Paradox describes the observation that small amounts of excess body fat may be protective against postoperative complications. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码:575 / 586
页数:12
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