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Obesity Surgery
Published in: Obesity Surgery 4/2014

01-04-2014 | Review Article

Postoperative Analgesia in Morbid Obesity

Authors: Adrian Alvarez, Preet Mohinder Singh, Ashish C. Sinha

Published in: Obesity Surgery | Issue 4/2014

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Abstract

Morbidly obese patients due to high incidence of obstructive sleep apnea (OSA) are predisposed to opioid induced airway obstruction and thus frontline high ceiling analgesics (opioids) have concerns based on safety in their liberal use. Although surgical techniques over the last two decades have seen a paradigm shift from open to laparoscopic procedures for morbidly obese patients; optimally titrated yet safe analgesic management still remains a challenge. The present review sums up the analgesic options available for management of morbidly obese patients undergoing surgery. We highlight the utility of multimodal approach for analgesia with combinations of agents to decrease opioids requirements. Pre-emptive analgesia may be additionally used to improve the efficacy of postoperative pain relief while allowing further reductions in opioid requirements.
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Metadata
Title
Postoperative Analgesia in Morbid Obesity
Authors
Adrian Alvarez
Preet Mohinder Singh
Ashish C. Sinha
Publication date
01-04-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 4/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1185-2

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