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摘要:
Obesity is one of the most prevalent health problems facing the United States today,with a recent JAMA article published in 2014 estimating the prevalence of one third of all adults in the United States being obese.Also,due to technological advancements,the incidence of spine surgeries is growing.Considering these overall increases in both obesity and the performance of spinal surgeries,it can be inferred that more spinal surgery candidates will be obese.Due to this,certain factors must be taken into consideration when dealing with spine surgeries in the obese.Obesity is closely correlated with additional medical comorbidities,including hypertension,coronary artery disease,congestive heart failure,and diabetes mellitus.The pre-operative evaluation may be more difficult,as a more extensive medical evaluation may be needed.Also,adequate radiographic images can be difficult to obtain due to patient size and equipment limitations.Administering anesthesia becomes more difficult,as does proper patient positioning.Postoperatively,the obese patient is at greater risk for reintubation,difficulty with pain control,wound infection and deep vein thrombosis.However,despite these concerns,appropriate clinical outcomes can still be achieved in the obese spine surgical candidate.Obesity,therefore,is not a contraindication to spine surgery,and appropriate patient selection remains the key to obtaining favorable clinical outcomes.
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篇名 Critical care of obese patients during and after spine surgery
来源期刊 世界重症医学杂志 学科 医学
关键词 OBESITY SPINE sugary CRITICAL CARE
年,卷(期) 2016,(1) 所属期刊栏目
研究方向 页码范围 83-88
页数 6页 分类号 R
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研究主题发展历程
节点文献
OBESITY
SPINE
sugary
CRITICAL
CARE
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界重症医学杂志
不定期
2220-3141
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
156
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0
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