Current opinion in anaesthesiology
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Curr Opin Anaesthesiol · Jun 2016
ReviewAnesthetic considerations for pediatric obesity and adolescent bariatric surgery.
Pediatric obesity has become commonplace in our clinical practice, and presents anesthesia providers with numerous challenges. This study provides an up-to-date review of their perioperative care, including the measurement of pediatric obesity, rational drug dosing in obese children, and recent data on bariatric outcomes in adolescents. ⋯ Safe and effective care of obese children demands careful perioperative management. High risk children are particularly vulnerable, and demand special attention. Bariatric surgery is an effective intervention for adolescents with severe obesity.
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Curr Opin Anaesthesiol · Jun 2016
ReviewThe impact of glycaemic variability on the surgical patient.
Diabetes is the most prevalent long-term metabolic condition and its incidence continues to increase unabated. Patients with diabetes are overrepresented in the surgical population. It has been well recognized that poor perioperative diabetes control is associated with poor surgical outcomes. The outcomes are worst for those people who were not recognized as having hyperglycaemia. ⋯ glycaemic control remains an important consideration in the surgical patient.