Management of Morbid Obese Patient in Anesthesia and Intensive Care

This work highlights the management of morbidly obese patient preoperatively, intra-operatively, postoperatively, and in intensive care unit regarding cardiovascular, respiratory, gastro-intestinal, metabolic and other related risks associated with morbid obese patient.Bariatric surgery is one-way to loose weight but itself carry risks for the obese patient as pulmonary embolus and deep venous thrombosis, atelectasis, incisional hernias, abdominal catastrophe, nutritional complications, malabsorption, iron deficiency and as any other obese patient there is risks of anesthesia.Obese patients once admitted to a critical care unit, they are less likely than those who are not obese to respond favorably to therapy. Critical illnesses in patients with obesity present a unique set of challenges for interdisciplinary healthcare teams.So, careful management of morbidly obese patient preoperatively, intraoperatively, postoperatively and in the intensive care unit is very important to decrease the perioperative morbidity and mortality in this group of patients.