[The obese patient]

Abstract

Anaesthesia to obese patients is a challenge due to specific changes in respiratory and circulatory functions. Obese patients have a higher risk of acquiring nosocomial infections, including wound sepsis. The place for minimal invasive surgery to limit complications in these patients is unresolved. There is need for prophylactic administration of antitrombotics and antibiotics administered on a weight-adjusted basis. The risk induced from anaesthesia and surgery correlates with comorbidity rather than BMI. Obese patients should not be discriminated against when considering a surgical option.