In conclusion, the presence of obesity increases the risk for surgical and postsurgical complications; however, with proper collaborative efforts among medical disciplines, the occurrence of these complications can be reduced quite significantly. It is important preoperatively that certain assessments of the cardiovascular and respiratory systems be carried out. During surgery, proper positioning of the obese patient is very important in addition to the appropriate airway maintenance and fluid management. The choice of anesthetic agent, along with the route of administration is extremely important, as based on their properties, these agents can confer different complications both intra and postoperatively. More intense research is needed for the use of these anesthetic agents in emergency settings. Postoperatively, the necessary steps should be taken to ensure that the patient is fully recovered with limited complications.
AKI: Acute kidney injury; BMI: Body Mass Index; CDC: The Centre for Disease Control and Prevention; CO: Cardiac Output; CPAP: Continuous Positive Airway Pressure; DVT: Deep Venous Thrombosis; ERV: Expiratory Reserve Volume; FOB: Flexible Fiberoptic Bronchoscopy; FRC: Functional Residual Capacity; GDT: Goal-Directed Therapy; LMWH: Low Molecular Weight Heparin; MEP: Maximal Expiratory Pressure; MIP: Maximal Inspiratory Pressure; OSA: Obstructive Sleep Apnea; OS-MRS: The Obesity Surgery Mortality Risk Stratification score; PCO2: Partial Pressure of Carbon Dioxide; PWV: Plethysmographic Waveform Variation; PPV: Pulse Pressure Variation; POCD: Postoperative Cognitive Dysfunction; PACU : Post Anaesthesia Care Unit; ScvO2: Central Venous Oxygen Saturation; SVV: Stroke Volume Variation; TNF-α: Tumour Necrosis Factor-Alpha; TLC: Total Lung Capacity; TBW: Total body weight; IBW: Ideal body weight.
The study was supported by grants from the National Natural Science Foundation of China (No. 81771160).
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BMC Anesthesiol. 2022;22(98) © 2022 BioMed Central, Ltd.