Anesthesia Management in Obese Patients Undergoing Total Joint Replacement


The multisystem changes associated with obesity present unique challenges to the orthopaedic surgeon and anesthesiologist, with implications for general anesthesia, neuraxial blockade, postoperative analgesia, and management of perioperative systemic complications. Current knowledge about the challenges associated with anesthesia in obese patients is largely derived from nonorthopaedic literature. Though the general principles of anesthesia may be applicable to the arthroplasty population, well-designed trials specifically evaluating the impact of obesity on anesthetic challenges and perioperative systemic complications in patients undergoing total joint replacement are needed. This article reviews the risks associated with anesthesia in obese patients undergoing total joint replacement, and outlines techniques to improve postoperative pain management in these patients.

This content is only available to members of the AAOS.

Please log in using the link at the top right corner of this page to access your exclusive AAOS member content.

Not a member? Become a member!