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Anesthetizing the obese child
Summary 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. T...
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| Published in: | Pediatric anesthesia 2011-06, Vol.21 (6), p.623-629 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c4389-5d2cf488b7c42fbd90ffb2e7c054f39486b85e845e0039d4bbb7bca8962b84903 |
| container_end_page | 629 |
| container_issue | 6 |
| container_start_page | 623 |
| container_title | Pediatric anesthesia |
| container_volume | 21 |
| creator | Mortensen, Anette Lenz, Katja Abildstrøm, Hanne Lauritsen, Torsten L. B. |
| description | Summary
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. |
| doi_str_mv | 10.1111/j.1460-9592.2011.03559.x |
| format | article |
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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.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/j.1460-9592.2011.03559.x</identifier><identifier>PMID: 21429056</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; airway ; Airway Management ; Anesthesia ; Anesthetics - pharmacokinetics ; Anesthetics - pharmacology ; Body Weight - physiology ; Child ; comorbidity ; Humans ; obesity ; Obesity - complications ; Obesity - epidemiology ; Obesity - etiology ; Obesity - physiopathology ; pediatric ; pharmacokinetics ; Postoperative Care ; Preoperative Care ; Sleep Apnea, Obstructive - complications</subject><ispartof>Pediatric anesthesia, 2011-06, Vol.21 (6), p.623-629</ispartof><rights>2011 Blackwell Publishing Ltd</rights><rights>2011 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4389-5d2cf488b7c42fbd90ffb2e7c054f39486b85e845e0039d4bbb7bca8962b84903</citedby><cites>FETCH-LOGICAL-c4389-5d2cf488b7c42fbd90ffb2e7c054f39486b85e845e0039d4bbb7bca8962b84903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21429056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mortensen, Anette</creatorcontrib><creatorcontrib>Lenz, Katja</creatorcontrib><creatorcontrib>Abildstrøm, Hanne</creatorcontrib><creatorcontrib>Lauritsen, Torsten L. B.</creatorcontrib><title>Anesthetizing the obese child</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Summary
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.</description><subject>Adolescent</subject><subject>airway</subject><subject>Airway Management</subject><subject>Anesthesia</subject><subject>Anesthetics - pharmacokinetics</subject><subject>Anesthetics - pharmacology</subject><subject>Body Weight - physiology</subject><subject>Child</subject><subject>comorbidity</subject><subject>Humans</subject><subject>obesity</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Obesity - etiology</subject><subject>Obesity - physiopathology</subject><subject>pediatric</subject><subject>pharmacokinetics</subject><subject>Postoperative Care</subject><subject>Preoperative Care</subject><subject>Sleep Apnea, Obstructive - complications</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkE1LwzAch4Mobk4_gtKbp9a8vxw8jKFVGOphIngJTZq6zm6dzYabn97Uzl01BPKDPL9_wgNAhGCCwrqaJYhyGCumcIIhQgkkjKlkcwD6-4vDkBFjMeOU9cCJ9zMIEcEcH4MeRhQryHgfnA8Xzq-mblV-lYu3KKSoNs67yE7LKj8FR0VWeXe2Owfg-fZmMrqLx4_p_Wg4ji0lUsUsx7agUhphKS5MrmBRGOyEhYwWRFHJjWROUuYgJCqnxhhhbCYVx0ZSBckAXHZzl039sQ4f0vPSW1dV2cLVa6-lULTd4m-SE8EF4yiQsiNtU3vfuEIvm3KeNVuNoG4t6pluZelWlm4t6h-LehOqF7tH1mbu8n3xV1sArjvgs6zc9t-D9dPwoU2hH3f90q_cZt_PmnfNBRFMvzykOn2dpFxgqRX5BjF4jUI</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Mortensen, Anette</creator><creator>Lenz, Katja</creator><creator>Abildstrøm, Hanne</creator><creator>Lauritsen, Torsten L. B.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7TS</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>201106</creationdate><title>Anesthetizing the obese child</title><author>Mortensen, Anette ; Lenz, Katja ; Abildstrøm, Hanne ; Lauritsen, Torsten L. B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4389-5d2cf488b7c42fbd90ffb2e7c054f39486b85e845e0039d4bbb7bca8962b84903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>airway</topic><topic>Airway Management</topic><topic>Anesthesia</topic><topic>Anesthetics - pharmacokinetics</topic><topic>Anesthetics - pharmacology</topic><topic>Body Weight - physiology</topic><topic>Child</topic><topic>comorbidity</topic><topic>Humans</topic><topic>obesity</topic><topic>Obesity - complications</topic><topic>Obesity - epidemiology</topic><topic>Obesity - etiology</topic><topic>Obesity - physiopathology</topic><topic>pediatric</topic><topic>pharmacokinetics</topic><topic>Postoperative Care</topic><topic>Preoperative Care</topic><topic>Sleep Apnea, Obstructive - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mortensen, Anette</creatorcontrib><creatorcontrib>Lenz, Katja</creatorcontrib><creatorcontrib>Abildstrøm, Hanne</creatorcontrib><creatorcontrib>Lauritsen, Torsten L. B.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mortensen, Anette</au><au>Lenz, Katja</au><au>Abildstrøm, Hanne</au><au>Lauritsen, Torsten L. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anesthetizing the obese child</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2011-06</date><risdate>2011</risdate><volume>21</volume><issue>6</issue><spage>623</spage><epage>629</epage><pages>623-629</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Summary
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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21429056</pmid><doi>10.1111/j.1460-9592.2011.03559.x</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1155-5645 |
| ispartof | Pediatric anesthesia, 2011-06, Vol.21 (6), p.623-629 |
| issn | 1155-5645 1460-9592 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_879479477 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adolescent airway Airway Management Anesthesia Anesthetics - pharmacokinetics Anesthetics - pharmacology Body Weight - physiology Child comorbidity Humans obesity Obesity - complications Obesity - epidemiology Obesity - etiology Obesity - physiopathology pediatric pharmacokinetics Postoperative Care Preoperative Care Sleep Apnea, Obstructive - complications |
| title | Anesthetizing the obese child |
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