Anestesia regional en el paciente con obesidad.

CRITICAL CARE & EMERGENGY MEDICINE VOL. 3

Regional anesthesia in the obese patient.

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 https://doi.org/10.58281/ccem24120903

Irlanda Guerrero Barajas 1, Enrique Uribe Carrete 2, José Ricardo Solorzanó Beltrán 1, Natasha Mey Ruiz 1, Santiago Andrés Berrón Pérez 1, Manuel A. Guerrero Gutiérrez 3 .

1 Fellow en Alta Especialidad en Anestesiología Bariátrica. Tijuana, México.
2 Departamento de Anestesiología en H.G.R #1 IMSS. Tijuana, México.
3 Departamento de Anestesiología Bariátrica, Centro Médico Bariátrico. Tijuana, México.

Abstract

Regional anesthesia in obese patients presents significant challenges due to the high prevalence of comorbidities such as hypertension, diabetes, and obstructive sleep apnea (OSA), which increase the risk of perioperative complications. Additionally, the excess adipose tissue complicates the administration of anesthesia, making it necessary to adjust the technique and dosage of anesthetics to improve safety and surgical outcomes. Obesity, considered a multisystem disease, imposes additional requirements in the management of ventilation, venous access, and effective analgesia.

La anestesia regional en pacientes obesos presenta desafíos significativos debido a la alta prevalencia de comorbilidades como hipertensión, diabetes y apnea obstructiva del sueño (AOS), que aumentan el riesgo de complicaciones perioperatorias. Además, el exceso de tejido adiposo dificulta la administración de anestesia, lo que hace necesario ajustar la técnica y la dosificación de los anestésicos para mejorar la seguridad y los resultados quirúrgicos. La obesidad, considerada una enfermedad multisistémica, impone requerimientos adicionales en el manejo de la ventilación, el acceso venoso y la analgesia efectiva.

Anesthesia local, Regional anesthesia, Obesity, Bariatric anesthesia, Opioid consumption, Pain.

Irlanda Guerrero Barajas
Fellow en Alta Especialidad en Anestesiología Bariátrica. Tijuana, México.

Enrique Uribe Carrete
Departamento de Anestesiología en H.G.R #1 IMSS. Tijuana, México.

José Ricardo Solorzanó Beltrán
Fellow en Alta Especialidad en Anestesiología Bariátrica. Tijuana, México.

Natasha Mey Ruiz
Fellow en Alta Especialidad en Anestesiología Bariátrica. Tijuana, México.

Santiago Andrés Berrón Pérez
Fellow en Alta Especialidad en Anestesiología Bariátrica. Tijuana, México.

Manuel A. Guerrero Gutiérrez .
Departamento de Anestesiología Bariátrica, Centro Médico Bariátrico. Tijuana, México.

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[1] Irlanda Guerrero Barajas, Enrique Uribe Carrete, José Ricardo Solorzanó Beltrán, Natasha Mey Ruiz, Santiago Andrés Berrón Pérez, and Manuel A. Guerrero Gutiérrez. 2024. Anestesia regional en el paciente con obesidad. CRITICAL CARE & EMERGENGY MEDICINE. Vol. 3, pp. 5–15. DOI: https://doi.org/10.58281/ccem24120903.

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