Bariatric Anesthesia Flashcards by Troy Green

Q

Obesity: Definition

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Calculating BMI

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Obesity Classification

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Comorbidities

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Psychological Complication

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Coexisting Comorbidities

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Obesity and HTN

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Insulin and HTN

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Leptin

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Diabetes

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Diabetes and White Adipose Tissue

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Cardiac Evaluation

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Cardio-thoracic Ratio

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Q

ECG Changes That May Occur in Obese Individuals

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SAECG

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Respiratory Pathophysiology

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Pickwickian Syndrome (Obesity Hypoventilation Syndrome)

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OSAS and Difficult Intubation

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Vascular Access

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Volume Replacement

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GI Pathophysiology

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Q

Ohio State Study

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http://journals.lww.com/anesthesia-analgesia/toc/1998/01000

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Saiseikai Yokohamashi Tobu Hospital Study

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http://journals.lww.com/anesthesia-analgesia/toc/2017/04000

Q

Preoperative Fasting Guidelines: Why Are We Not Following Them? The Time to Act Is NOW

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Reasonable to have a sugar containing beverage ~2hours before surgery

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Anesthetic Considerations: Preoperative

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Induction

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Airway Collapse

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Anesthetic Issues

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CPAP Preoxygenation

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Anesthetic Considerations: Intraoperative

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Ventilation

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Q

Pharmocology: Factors Affecting Drug Pharmacokinetics in Obesity (2)

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Pharmocology: Pharmacokinetics of Anesthetic Agents

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Overdosing of pre medication and anesthesia drugs in obese patient is very common

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https://www.calculator.net/ideal-weight-calculator.html

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Dosing

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Intraoperative Positioning

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Reverse Trendelenburg Position

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Intraoperative

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Regional

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Postoperative

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Increased mortality
- 6.6% vs. 2.7% in non-obese
- Little to no sedation post op
- Carefully titrate narcotics
- Tylenol (careful with NSAIDS)
- Insulin to maintain normoglycemia
Decreased wound infection and MI
- DVT, PE
Use Calf compression devices

Q

Narcotics

A