Peri-operative management of overweight and obese children and adolescents
| Autor: | C. Dadure, Souhayl Dahmani, Frederique Servin, Corinne Lejus, Gilles Orliaguet, Christopher Brasher, Fabrice Michel |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Perioperative Disease Overweight medicine.disease Obesity Childhood obesity Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology 030225 pediatrics Pediatrics Perinatology and Child Health Developmental and Educational Psychology medicine Physical therapy Respiratory function medicine.symptom business Intensive care medicine Body mass index |
| Zdroj: | The Lancet. Childadolescent health. 1(4) |
| ISSN: | 2352-4650 |
| Popis: | Obesity has become endemic, even in children. Systemic complications associated with obesity include metabolic syndrome, cardiovascular disease, and respiratory compromise. These comorbidities require adequate investigation, targeted optimisation, and, if surgery is required, specific management during the peri-operative period. Specific peri-operative strategies should be used for paediatric patients who are overweight or obese to prevent postoperative complications, and optimising the respiratory function during surgery is particularly crucial. This Review aims to provide up-to-date information on peri-operative management for physicians who are caring for children and adolescents (usually younger than 18 years) who are overweight or obese undergoing surgery, including bariatric surgery. We have particularly focussed on the physiological consequences of obesity-namely, obstructive sleep apnoea, respiratory compromise, and pharmacological considerations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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