Instrumentación Quirúrgica
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Browsing Instrumentación Quirúrgica by Subject "Anestesia"
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Item Manejo anestésico en pacientes con obesidad y obesidad mórbida (revisión bibliográfica)(Universidad Santiago de Cali, 2024) Hervas Arias, Edixon Camilo; Torres Aponte, Karen Daniela; Palacios Viveros, Andrés Felipe; Maldonado Rincón, Beatriz Alejandra (Director)Introduction: Obesity and morbid obesity, are increasingly prevalent in the current population, for this reason anesthesiologists are daily confronted with this type of patients, which represents a challenge because of their high rates of complications due to anesthetic induction (1-4). Objective: To know the anesthetic management in patients with obesity and morbid obesity. Materials and methods: The present bibliographic review was carried out by means of a search of articles in databases such as: Google Academic Repository (31), Pubmed (10), Scielo (10). Results: Among the types, techniques and advances for obese/morbid patients, we found the use of opioid-free anesthesia, use of peripheral regional anesthesia, ventilatory masks, constant monitoring, among others, which allow the reduction of possible complications (12-20). On the other hand, obese/morbid patients tend to be patients with difficult air access, which means that the use of anesthetics can further complicate this situation, causing serious complications that can lead to death itself (31-34). Thus, this type of patients usually present high post-anesthetic complications, among which arterial hypotension, respiratory problems, cardiovascular problems, among others, stand out (29-35). Conclusion: Obesity is considered a risk factor at the time of anesthetic induction, so the anesthetic management of obese/morbid patients is a continuous challenge, and it is advisable to look for other alternatives to minimize the risk of complications, such as the use of techniques and drugs