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Chapter 16 - Big Can Be Beautiful!

How to Use TIVA in the Obese

Published online by Cambridge University Press:  18 November 2019

By
Luis Ignacio Cortínez  and
Brian Anderson
Edited by
Michael G. Irwin ,
Gordon T. C. Wong  and
Shuk Wan Lam
Michael G. Irwin
Affiliation:
The University of Hong Kong
Gordon T. C. Wong
Affiliation:
The University of Hong Kong
Shuk Wan Lam
Affiliation:
The University of Hong Kong
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Summary

Obesity is a chronic disease characterised by the presence of excessive body fat that increases the risk of health problems. Traditionally, the administration of TIVA and TCI in the obese has been done using dose schemes extrapolated from non-obese patients. The use of such schemes has proven inadequate in the obese and they are commonly associated with overdose.[1,2] Dosing strategies of IV anaesthetics in heavy weight patients requires approaches that differ from those used in lean patients due to physiological and pharmacological changes associated with obesity.[3] This chapter is intended to be a practical guide for anaesthetists who wish to undertake TIVA and TCI in obese patients.

Type
Chapter
Information
Taking on TIVA
Debunking Myths and Dispelling Misunderstandings
 , pp. 132 - 138
Publisher: Cambridge University Press
Print publication year: 2019

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