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More Surgery Problems For Obese Children
An article in the March issue of Anesthesiology
reports that obese children are more likely to have problems during
surgery. Specifically, obese children are more prone to problems with
airway obstruction and other functions pertaining to breathing compared
to normal-weight children. They had higher rates of difficult mask
ventilation, airway obstruction, and major oxygen desaturation - a
decrease in blood oxygen levels.
Researcher Alan R. Tait of the University of Michigan Health System and
colleagues performed a large-scale prospective study to analyze the
effects of overweight and obesity on the results of children undergoing
elective non-cardiac surgery. Tait remarks, "To our knowledge, this is
the first study of
its kind." The researcher argues that it is important to be aware of
the higher risks of operating on obese children since it is highly
likely that anesthesiologists will be caring for an increasing number
of overweight and obese kids. In the United States, about 15% to 17% of
children and adolescents are considered obese.
The researchers analyzed the surgeries of 2,025 children who were
having elective
surgery - 1,380 were normal weight, 351 were overweight, and
294 were obese. The participants were all between 2 and 18 years old.
Findings include:
19% of obese children suffered from major airway
obstructions (11% of normal-weight children did).
About 9% of obese children experienced difficult mask
ventilation (2% of normal-weight children did).
17% of obese children experienced major oxygen
desaturation (9% of normal-weight children did).
Tait indicates that obese children were also more likely to have
conditions that can contribute to problems during surgical operations:
asthma, high blood pressure, sleep apnea, and Type II diabetes. For
example, in the study, 28% of obese children had asthma compared to 16%
of normal-weight children.
However, although obese children had a higher likelihood of adverse
events during surgery, none resulted in severe illness.
Incidence and Risk Factors for Perioperative Adverse
Respiratory Events in Children Who Are Obese
Alan R. Tait, Terri Voepel-Lewis, Constance Burke, Amy
Kostrzewa, and Ian Lewis
Anesthesiology. 108(3):375-380, March 2008.
Click
Here to View Abstract
Written by: Peter M Crosta
Copyright: Start Sanatate
Not to be reproduced without permission of Start Sanatate
Mai multe probleme de chirurgie pentru copii obezi - More Surgery Problems For Obese Children - articole medicale engleza - startsanatate