Abstract

VILLEGAS-SOTELO, Elizabeth; ARCEO-TOVAR, Mariana  and  CAMPOS-PEREZ, Francisco José. Analgesic recommendations in patients with obesity and OSAS. Rev. mex. anestesiol. [online]. 2019, vol.42, n.3, pp.180-182.  Epub Sep 13, 2021. ISSN 0484-7903.

The management of acute pain in obese patients poses two problems: choosing the most effective analgesic techniques and the monitoring required to guarantee their safety. The barriers to achieve efficacy and safety are due to the pathophysiological and anatomical alterations described below. 1) Pharmacokinetic and pharmacodynamic modifications cause incorrect dosing, 2) obstructive sleep apnea syndrome, 3) chronic musculoskeletal pain, 4) psychiatric disorders, 5) hyperalgesic state due to chronic proinflammatory process. Recommendations for choosing an analgesic therapy are based on: age, body mass index, type of surgery, associated morbidities, pain intensity and drug class. These strategies can be dosed by weight, body surface area and adjusted doses.

Keywords : Postoperative pain; obesity; obstructive sleep apnea; bariatric surgery.

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