Which of the following does not represent a significant anaesthetic problem in the morbidly obese patient?
D i.e. Decreased cardiac out put relative to total body mass Obesity related changes Cardiovascular Respiratory Gastrointestinal Problems during anesthesia - T Blood volume - ,I. Compliance - Hiatus hernia - Difficult intubation Q - I Cardiac outputc2 - i Respiratory drive - Gastroesophageal - Increased risk of aspiration - I B.P. - 1 Vital capacity & FRC reflux poor gastric pneumonia - I Stroke volume - 1, Blood 02 (Hypoxemia) Q emptying Hyper - Volatile agents are metabolized - I Cardiac workload - These patients require high acidic gastric rapidly while the action of - I Cardiomegaly Fi02 to achieve adequate oxygenation, the ratio of fluid. nonvolatile agents are prolonged. Q - Difficulties in regional anesthesia N2O/O2 is kept 2/3 - Respiratory failure is the major post operative problemQ
Difficulties in endotracheal intubation
Suboptimal aerial oxygen tension
Increased metabolism of volatile agents
Decreased cardiac output relative to total body mass