Thesis (M.Sc.) - Cairo University - Faculty Of Medicine - Department Of Anaesthesia

The prevalence of obesity is increasingMorbidly obese patients figure frequently in peri - operative morbidity and mortality reportsMorbidly obese patients present a significant challenge to the anaesthetistThis is in part due to technical challenges , in part due to co - morbidities , and in part to physiological changes consequent on morbid obesityAn understanding of these changes is important for safe anaesthesia in this patient groupCareful pre - operative assessment and evaluation can bring many co - morbidities to light , and allows appropriate preparation of the patient , theatre and care team prior to surgeryCardiorespiratory problems , reflux and diabetes are commonThe high incidence of obstructive sleep apnoea necessitates postoperative intensive or high dependency care in all casesThis research work highlights the management of the morbidly obese patient , preoperatively , intraoperatively , and postoperatively regarding all aspects

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