anaesthetic management of obesity and carcinoid Powerpoint Presentation

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anaesthetic management of obesity and carcinoid

by: mushi.khan101@gmail.com

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OBESITY & ANAESTHESIA

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OBESITY

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BOBY MASS INDEX WEIGHT (Kg) BMI= ----------------- HEIGHT (m)2

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BMI & OBESITY

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CLASSIFICATION OF OBESITY

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OBESITY & HEALTH RISKS HEALTH RISKS DEGREE OF OBESITY ABDOMENAL FAT DISTRIBUTION MALE WAIST = 40 FEMALE WAIST = 35

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CLINICAL MANIFESTATION Pulmonary C.V.S G.I.T Hepatic Metabolic

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OBESITY & ALVEOLAR COLLAPSE

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OBSTRSUCTIVE SLEEP APNEA SYNDROME Sleep disorder characterized by abnormal pauses in breathing or instances of abnormally low breathing, during sleep Many periods when your breathing stops for 10 seconds or more during sleep

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Throat muscles become so relaxed and floppy during sleep that they cause a narrowing or complete blockage of the airway

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SYPMTOMS OS OSAS Daytime sleepiness or fatigue Dry mouth or sore throat upon awakening Headaches in the morning Trouble concentrating, forgetfulness, depression, or irritability Night sweats

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Restlessness during sleep Sexual dysfunction Snoring Sudden awakenings with a sensation of gasping or choking Difficulty getting up in the mornings

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Perioperative complications of OSAS

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Cardiac manifestations of obesity LVH RVH

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METABOLIC SYNDROME

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LIPID SOLUBLE Inc. vol of distribution Larger loading doses to produce same plasma concentration but maintenance doses less frequent-slow clearance Doses based on actual body wt. WATER SOLUBLE Limited vol of distribution Doses not influenced by fat stores Doses based on ideal body wt. – to avoid overdosing.

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ATELACTASIS IN OBESE

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