Tatalaksana Anestesi pada Pediatrik dengan Obesitas

Abstract

Anesthetic management of obese pediatric patients is challenging. With increasing prevalence, more child
with severely obese and comorbidities present for surgery everyday. Definition of obesity is based on body
mass index percentiles spesific to age and sex. The precursors of adult obesity-related comorbidities are often seen in obese children. Respiratory and cardiovascular comorbidities increase perioperative risk in the severely obese child. Optimal and safe anesthetic management of an obese child requires thoughtful pre prosedure assessment and meticulous perioperative management tailored to associated comorbidities, with hieghtened wareness of potential perioperative complications. There are remains a need for improved guidelines for risk stratification, drug dosing and postoperative disposition in this patient population.