Abstract
Obesity frequency among children has been
on the rise and since the success of its medical treatment is quite limited,
surgical methods are applied on certain cases. Obesity causes various changes
both in the airway and drug metabolism. In the literature, there is limited
information on the anaesthesia method for obese patients and there is no
consensus especially on the paediatric patient group. In this case, we
emphasized the importance of multidisciplinary anaesthesia management approach
in pediatric patients and the use of anaesthetic doses according to suitable
with the body mass, and for the first time in pediatric bariatric surgery in
Turkey we reported to describe the use of sugammadex in a morbid adolescent
patient.
References
- References 1. Brenn BR. Anesthesia for pediatric obesity. Anesthesiol Clin North America 2005 ;23(4):745-64.
- References 2. Samuels PJ, Sjoblom MD. Anesthetic considerations for pediatric obesity and adolescent bariatric surgery. Curr Opin Anaesthesiol 2016 ;29(3):327-36.
- References 3. Kiekkas P, Stefanopoulos N, Bakalis N, Kefaliakos A, Konstantinou E.Perioperative Adverse Respiratory Events in Overweight/ObeseChildren: Systematic Review. J Perianesth Nurs 2016 ;31(1):11-22.
- References 4. Mirakhur RK. Sugammadex in clinical practice. Anaesthesia 2009;64:45-54.
- References 5. Mortensen A, Lenz K, Abildstorm H, Lauritsen T.L.B. Anesthetizing the obese child. Paediatr Anaesth 2011; 21(6): 623-29.
- References 6. Nightingale C.E., Margarson M.P., Shearer E, Redman J.W., Lucas D.N.,Cousins J.M. et al. Peri-operative management of the obese surgical patient 2015: Association of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia 2015; 70(7): 859-76.
Abstract
Çocuklarda obezite sıklığı giderek artmakta olup
tedavisinde medikal tedavi başarısının sınırlı olması nedeniyle seçilmiş
olgularda cerrahi yöntemlerde uygulanmaktadır. Obezite
hem hava yolunda hemde ilaç metabolizmasında çok sayıda değişikliğe neden olmaktadır.
Literatürde yeterli veri bulunmayan obez
hastalarda anestezi yönetimi ile ilgili özelliklede çocuk hasta grubunda bir
uzlaşı yoktur. Biz bu olguda, pediatrik hastada multidisipliner anestezi
yönetimi yaklaşımımızı ve anestezik dozlarının vücut kütlesi ile uygunluğuna göre
kullanımın önemini vurgularken. Türkiye'de pediatrik bariatrik cerrahide ilk
kez morbid ergen hasta grubunda sugammadeks kullanımını anlatmaya değer bulduk.
Keywords
References
- References 1. Brenn BR. Anesthesia for pediatric obesity. Anesthesiol Clin North America 2005 ;23(4):745-64.
- References 2. Samuels PJ, Sjoblom MD. Anesthetic considerations for pediatric obesity and adolescent bariatric surgery. Curr Opin Anaesthesiol 2016 ;29(3):327-36.
- References 3. Kiekkas P, Stefanopoulos N, Bakalis N, Kefaliakos A, Konstantinou E.Perioperative Adverse Respiratory Events in Overweight/ObeseChildren: Systematic Review. J Perianesth Nurs 2016 ;31(1):11-22.
- References 4. Mirakhur RK. Sugammadex in clinical practice. Anaesthesia 2009;64:45-54.
- References 5. Mortensen A, Lenz K, Abildstorm H, Lauritsen T.L.B. Anesthetizing the obese child. Paediatr Anaesth 2011; 21(6): 623-29.
- References 6. Nightingale C.E., Margarson M.P., Shearer E, Redman J.W., Lucas D.N.,Cousins J.M. et al. Peri-operative management of the obese surgical patient 2015: Association of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia 2015; 70(7): 859-76.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | OLGU SUNUMU |
| Authors | |
| Publication Date | September 1, 2018 |
| Published in Issue | Year 2018 Volume: 40 Issue: 3 |