Bariatric Anesthesia

Question 1

Obesity: Definition

Answer 1

Question 2

Calculating BMI

Answer 2

Question 3

Obesity Classification

Answer 3

Question 4

Comorbidities

Answer 4

Question 5

Psychological Complication

Answer 5

Question 6

Coexisting Comorbidities

Answer 6

Question 7

Obesity and HTN

Answer 7

Question 8

Insulin and HTN

Answer 8

Question 9

Leptin

Answer 9

Question 10

Diabetes

Answer 10

Question 11

Diabetes and White Adipose Tissue

Answer 11

Question 12

Cardiac Evaluation

Answer 12

Question 13

Cardio-thoracic Ratio

Answer 13

Question 14

ECG Changes That May Occur in Obese Individuals

Answer 14

Question 15

SAECG

Answer 15

Question 16

Respiratory Pathophysiology

Answer 16

Question 17

Pickwickian Syndrome (Obesity Hypoventilation Syndrome)

Answer 17

Question 18

OSAS and Difficult Intubation

Answer 18

Question 19

Vascular Access

Answer 19

Question 20

Volume Replacement

Answer 20

Question 21

GI Pathophysiology

Answer 21

Question 22

Ohio State Study

Answer 22

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

Question 23

Saiseikai Yokohamashi Tobu Hospital Study

Answer 23

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

Question 24

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

Answer 24

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

Question 25

Anesthetic Considerations: Preoperative

Answer 25

Question 26

Induction

Answer 26

Question 27

Airway Collapse

Answer 27

Question 28

Anesthetic Issues

Answer 28

Question 29

CPAP Preoxygenation

Answer 29

Question 30

Anesthetic Considerations: Intraoperative

Answer 30

Question 31

Ventilation

Answer 31

Question 32

Pharmocology: Factors Affecting Drug Pharmacokinetics in Obesity (2)

Answer 32

Question 33

Pharmocology: Pharmacokinetics of Anesthetic Agents

Answer 33

Question 34

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

Answer 34

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

Question 35

Dosing

Answer 35

Question 36

Intraoperative Positioning

Answer 36

Question 37

Reverse Trendelenburg Position

Answer 37

Question 38

Intraoperative

Answer 38

Question 39

Regional

Answer 39

Question 40

Postoperative

Answer 40

1. 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
2. Decreased wound infection and MI
   - DVT, PE
3. Use Calf compression devices

Question 41

Narcotics

Answer 41