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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Anesthetizing the obese child

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The prevalence of childhood obesity is increasing. The focus of this review is the special anesthetic considerations regarding the perioperative management of obese children. With obesity the risk of comorbidity such as asthma, obstructive sleep apnea, hypertension, and diabetes increases. The obese child has an increased risk of perioperative complications especially related to airway management and ventilation. There is a significantly increased risk of difficult mask ventilation and perioperative desaturation. Furthermore, obesity has an impact on the pharmacokinetics of most anesthetic drugs. This has important implications on how to estimate the optimal drug dose. This article offers a review of the literature on definition, prevalence and the pathophysiology of childhood obesity and provides suggestions on preanesthetic evaluation, airway management and dosage of the anesthetic drugs in these patients. The authors highlight the need of supplemental studies on various areas of the subject.
Original languageEnglish
JournalPaediatric Anaesthesia
Volume21
Issue number6
Pages (from-to)623-9
Number of pages7
ISSN1155-5645
DOIs
Publication statusPublished - 2011

    Research areas

  • Adolescent, Airway Management, Anesthesia, Anesthetics, Body Weight, Child, Humans, Obesity, Postoperative Care, Preoperative Care, Sleep Apnea, Obstructive

ID: 33191112