The obese patient undergoing nonbariatric surgery

@article{Bluth2016TheOP,
  title={The obese patient undergoing nonbariatric surgery},
  author={Thomas Bluth and Paolo Pelosi and Marcelo Gama de Abreu},
  journal={Current Opinion in Anaesthesiology},
  year={2016},
  volume={29},
  pages={421–429}
}
Purpose of review This article provides the reader with recent findings on the pathophysiology of comorbidities in the obese, as well as evidence-based treatment options to deal with perioperative respiratory challenges. Recent findings Our understanding of obesity-associated asthma, obstructive sleep apnea, and obesity hypoventilation syndrome is still expanding. Routine screening for obstructive sleep apnea using the STOP-Bang score might identify high-risk patients that benefit from… 
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TLDR
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The results showed that the optimal ventilation strategies in obese patients for improving perioperative oxygenation include the head-up position plus CPAP for spontaneous breathing and IPPV with PEEP for mechanical ventilation during induction, large tidal volume ventilation with PEP during anesthesia maintenance, and NIPPV applied for oxygen delivery after extubation.
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Recognition and awareness of the relationship between metabolic syndrome and postoperative complications following ASD surgery is important for preoperative optimization and perioperative care.
Optimizing patients undergoing surgery (OPUS): Part II - still a matter of 'eminence-based medicine'?
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This issue of Current Opinion in Anesthesiology continues with reviews focusing on other but not less important topics: the patient with liver disease, with pulmonary disease, the adult with congenital heart disease,with neuromuscular disorder, the patient coming to the OR with an infection by multiresistant bacteria, and last not least the frail patient.
Obesity, Race, and Perioperative Complications
TLDR
The scope and impact of both pediatric obesity and pediatric minority status on perioperative management and outcomes are provided and their points of intersection are emphasized.
Does Obesity Affect Outcomes of Transjugular Intrahepatic Portosystemic Shunt Placement?
TLDR
To assess if obesity increases TIPS complications, three hundred and twenty-nine patients underwent an elective TIPS procedure at the institute between 2013 and 2018 and were divided into 5 groups based on their BMI.
Metabolic Syndrome and 30-Day Outcomes in Elective Lumbar Spinal Fusion
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While MetS is a predictor of postoperative acute renal failure, it only slightly increases the risk of overall complications and is not associated with increased rates of 30-day reoperations or readmissions following elective lumbar spinal fusion.
Protective intraoperative ventilation with higher versus lower levels of positive end-expiratory pressure in obese patients (PROBESE): study protocol for a randomized controlled trial
TLDR
The results of the PROBESE trial will support anesthesiologists in their decision to choose a certain PEEP level during general anesthesia for surgery in obese patients in an attempt to prevent PPCs.
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