Anesthesiology in Obesity: Pre-op Assessment, OR Strategy, and Tips and Tricks for a Successful “Go Through”The Globesity Challenge to General Surgery

The incidence and prevalence of obesity continues to increase globally. Bariatric surgery is an attractive treatment option for obesity. So, anesthesiologists are going to care for an increasing number of obese patients for the foreseeable future. Anesthesiologists should take into consideration the specific problems associated with obesity (i.e. metabolic syndrome, obstructive sleep apnea, pulmonary and cardiovascular disease, deep venous thrombosis) that may complicate anesthesiological management and concur to optimize them before surgery. All patients seeking bariatric surgery should have a comprehensive preoperative evaluation with emphasis on upper airways, and pertinent laboratory and diagnostic testing. The major topics about the perioperative anesthesiological management of obese patient undergoing bariatric surgery are thus discussed highlighting a proper strategy for the better outcome