La obesidad y la anestesiología: una asociación permanente.

CRITICAL CARE & EMERGENGY MEDICINE VOL. 3

Obesity and anesthesiology: A permanent association.

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 https://doi.org/10.58281/ccem24120904

Manuel Alberto Guerrero Gutiérrez 1 .
1 Profesor Titular del curso de Alta Especialidad de Anestesia Bariátrica en Tijuana, México. Profesor Investigador en la Universidad Autónoma de Baja California Campus Tijuana. E-mail: manuelguerreromd@gmail.com

Abstract

Mexico is a country with a high prevalence of obesity in adults, reaching 36.9%1. Body mass index (BMI) linearly increases the risk of perioperative complications, such as atelectasis, obstructive sleep apnea, cardiovascular and thromboembolic diseases, among others. This situation highlights the importance of anesthesiologists being trained to adequately address the perioperative care of patients with obesity, since approximately one third of the population is in this category. Currently, there are multiple approaches to obesity management, ranging from lifestyle changes and surgeries for metabolic control and weight loss, to new generation medications, such as GLP-14 analogues. This has led to physicians from various specialties needing to update themselves on the mechanism of action and side effects of these new treatments.

México es un país que presenta una alta prevalencia de obesidad en adultos. El mismo alcanza un 36.9%1. El índice de masa corporal (IMC) incrementa linealmente el riesgo de complicaciones perioperatorias, como atelectasias, apnea obstructiva del sueño, enfermedades cardiovasculares y tromboembólicas, entre otras. Esta situación resalta la importancia de que los médicos anestesiólogos estén capacitados para abordar adecuadamente el cuidado perioperatorio de pacientes con obesidad, ya que aproximadamente un tercio de la población se encuentra en esta categoría. En la actualidad, existen múltiples enfoques para el manejo de la obesidad, que van desde cambios en el estilo de vida y cirugías para el control metabólico y la pérdida de peso, hasta medicamentos de nueva generación, como los análogos del GLP-14. Esto ha llevado a que los médicos de diversas especialidades necesiten actualizarse sobre el mecanismo de acción y los efectos secundarios de estos nuevos tratamientos.

Anesthesia; Obesity; Bariatric anesthesia; Thromboprophylaxis; Difficult airway

Manuel Alberto Guerrero Gutiérrez .
Profesor Titular del curso de Alta Especialidad de Anestesia Bariátrica en Tijuana, México. Profesor Investigador en la Universidad Autónoma de Baja California Campus Tijuana. E-mail: manuelguerreromd@gmail.com

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[1] Manuel Alberto Guerrero Gutiérrez. 2024. La obesidad y la anestesiología: una asociación permanente. CRITICAL CARE & EMERGENGY MEDICINE. Vol. 3, pp. 1–4. DOI: https://doi.org/10.58281/ccem24120904.
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DOI: 10.3989/ccem

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