Anesthesia in Patients with Obesity

The book presents a comprehensive, evidence-based framework for the perioperative management of patients with obesity. It shifts the focus from traditional BMI-based classification to a clinically relevant, physiology-driven model that emphasizes the underlying pathophysiological changes influencing anesthetic risk and decision-making.

The book adopts an organ-system-based approach, guiding readers from foundational pathophysiology to real-time clinical application. It integrates contemporary evidence on airway challenges, respiratory mechanics, cardiovascular adaptation, and metabolic dysfunction, alongside critical topics such as obstructive sleep apnea, opioid-free anesthesia, ERAS protocols, and the perioperative implications of GLP-1 receptor agonists. Each chapter is supplemented with take-home principles boxes, clinical decision flowcharts, and reference tables designed for rapid intraoperative and perioperative consultation.

Grounded in more than three decades of frontline clinical experience in a high-volume bariatric and metabolic surgery center, the text balances scientific rigor with practical insight. It equips clinicians to assess physiological burden, stratify perioperative risk, and tailor anesthesia strategies for improved patient outcomes.

This book is an essential resource for practicing anesthesiologists, perioperative physicians, and intensivists involved in the care of patients with obesity. It is also highly relevant for postgraduate anesthesia trainees, fellowship candidates, bariatric, metabolic, laparoscopic, and robotic surgeons, and sleep medicine specialists seeking a deeper, clinically applicable understanding of obesity-related anesthetic management.