Peri-operative management of the obese surgical patient 2015: Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia

Members of the Working Party, C E Nightingale, M P Margarson, E Shearer, J W Redman, D N Lucas, J M Cousins, W T A Fox, N J Kennedy, P J Venn, M Skues, D Gabbott, U Misra, J J Pandit, M T Popat, R Griffiths, Association of Anaesthetists of Great Britain, Ireland Society for Obesity and Bariatric Anaesthesia, Members of the Working Party, C E Nightingale, M P Margarson, E Shearer, J W Redman, D N Lucas, J M Cousins, W T A Fox, N J Kennedy, P J Venn, M Skues, D Gabbott, U Misra, J J Pandit, M T Popat, R Griffiths, Association of Anaesthetists of Great Britain, Ireland Society for Obesity and Bariatric Anaesthesia

Abstract

Guidelines are presented for the organisational and clinical peri-operative management of anaesthesia and surgery for patients who are obese, along with a summary of the problems that obesity may cause peri-operatively. The advice presented is based on previously published advice, clinical studies and expert opinion.

© 2015 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists of Great Britain and Ireland.

Figures

Figure 1
Figure 1
Adult trends in obesity (BMI ≥ 30 kg.m2) in the UK male (○) and female (●) population, showing three‐yearly averages. Redrawn from Health Survey England 2013 data (see http://www.hscic.gov.uk/catalogue/PUB16077) accessed 10/03/2015).
Figure 2
Figure 2
Relationship between total body weight and body mass index (BMI), showing how lean body mass effectively plateaus despite increasing BMI. A male of height 190 cm and ideal body weight (IBW) is indicated, demonstrating how IBW includes a normal 15% fat mass.
Figure 3
Figure 3
Ramping position for obese patients. Note the tragus of the ear level with the sternum.

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