· Obesity is growing in prevalence, and presents considerable challenges to anaesthetists.
· Careful Pre-Assessment, Intra-operative and Post-operative planning of the obese patient requiring general anaesthesia can help to improve outcomes and reduce risk of anaesthesia.
· Obesity Surgery Mortality Risk Score (OSMRS) can be used in addition to other common risk scoring tools to help stratify risk. Patients with Metabolic Syndrome and those who are “apple” shaped are higher risk.
· Particular attention must be paid to the safe management of the airway, and ventilation strategy to minimise atelectasis and resulting respiratory complications.
A multimodal approach to analgesia, and multidisciplinary care of the patient in the post-operative period, is required to facilitate early mobilisation and recovery to discharge.Read More