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العنوان
Anesthetic Implications in Pediatric Obesity
المؤلف
Moharam,Sameh Ahmed Mohamed
هيئة الاعداد
باحث / Sameh Ahmed Mohamed Moharam
مشرف / Hala Samir El Mohamady
مشرف / Safaa Ishak Ghaly
مشرف / Alaa Samir El Kateb
الموضوع
Post-operative management-
تاريخ النشر
2011
عدد الصفحات
112.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2011
مكان الإجازة
جامعة عين شمس - كلية الطب - Anesthesiology
الفهرس
Only 14 pages are availabe for public view

from 112

from 112

Abstract

Overweight children become obese adults. Overweight and obesity are associated with serios medical, physiological, and social problems.
Increasing the rate of obesity among children is one of the most challenging dilemma facing pediatric care professionals today with its consequent morbidity and mortality, that is caused by a caloric intake that is greater than needed.
Obesity is included in the following syndromes; Prader-Willi syndrome, Alstrom syndrome, Beckwith syndrome, Bardet Biedl syndrome, Carpenter syndrome, and Chuppy Puffer syndrome.
Obese children are at high risk of diabetes mellitus type II, cardiovascular complications such as hypertension, tachycardia, arrhythmias, blood loss, and left ventricular failure. They are also at risk of respiratory complications such as hypoxemia, laryngospasm, obstructive sleep apnea, decrease in gas exchange, and decrease in the functional residual capacity in comparison with the non-obese ones.
This essay discusses overweight/obesity and gastric fluid characteristics in pediatrics surgery and implication of the fasting guidelines and pulmonary aspiration risk related to emetic episodes associated with shortened fasting intervals.
This essay also discusses the safest anesthetic techniques in those obese pediatrics, pre-operative assessment, intra-venous access, pre-medications, positioning, monitoring and management of complications intra and postoperatively.