Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Obesity presents significant perioperative anesthetic challenges due to associated physiological and pharmacological changes. Effective management requires a multi disciplinary approach to address complications such as difficult airway management, altered pharma cokinetics increased postoperative risks. The aim was to evaluate a multi disciplinary approach to perioperative anesthetic management in obese patients, comparing outcomes between general anesthesia (GA) and regional anesthesia (RA). A prospective study was conducted over one year, including 75 obese patients (BMI = 30 kg/m², age 18‐65) undergoing elective surgery. Patients were randomized into GA and RA groups. The multi disciplinary team included anesthesiologists, surgeons, nurses, dietitians respiratory therapists. Preoperative assessments, intra operative management postoperative care were conducted. Data on demographics, comorbidities, anesthetic techniques, complications, hospital stay patient outcomes were collected and analyzed using SPSS software. The study included 75 obese patients randomized into general anesthesia (GA) and regional anesthesia (RA) groups. Demographic characteristics and preoperative comorbidities were comparable between the groups. No significant differences were observed in intra operative and postoperative complications, including hypoxemia, hypotension, bardycardia, PONV, wound infections, or DVT. The length of hospital stay was slightly longer for the GA group (6.60 days) compared to the RA group (5.95 days), but this difference was not statistically significant. Notably, the RA group reported significantly lower postoperative pain scores (p = 0.025). Overall, both anesthesia techniques demonstrated similar safety profiles, with RA showing advantages in postoperative pain management. A multi disciplinary approach is essential for managing obese patients preoperatively. Both GA and RA are viable techniques, with RA offering advantages in pain management. Future research should further explore tailored anesthetic strategies and multi disciplinary interventions to optimize patient outcomes.
How to cite this article:
Abhinaya Thagirisa and Sumera Raheem. Perioperative Anesthetic Management in Patients with Obesity A Multi Disciplinary Approach.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.405.410
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.405.410