Postoperative analgesia in morbid obesity

Adrian Alvarez, Preet Mohinder Singh, Ashish C. Sinha

Research output: Contribution to journalReview articlepeer-review

42 Scopus citations

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.

Original languageEnglish
Pages (from-to)652-659
Number of pages8
JournalObesity Surgery
Volume24
Issue number4
DOIs
StatePublished - Apr 2014

Keywords

  • Adjuvant analgesics for morbid obese
  • Morbid obese postoperative analgesia
  • Opioid sparing analgesia

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