Year: 2025
Type: article
Abstract: Background: Morbid obesity is associated with unique physiological alterations that elevate the risk of perioperative complications. Spinal anesthesia represents a promising approach that may reduce the risks related to general anesthesia; however, its safety and efficacy in morbidly obese patients require further investigation.Objective: To evaluate the safety, efficacy, and potential benefits of spinal anesthesia in morbidly obese patients and to develop recommendations for minimizing associated risks.Materials and Methods: An analysis of 12 studies (2013–2023) involving over 1,500 morbidly obese patients was conducted. Clinical outcomes, complication rates, and patient satisfaction were evaluated. Data from randomized controlled trials, meta-analyses, and large cohort studies were utilized.Results: Spinal anesthesia in morbidly obese patients is associated with fewer respiratory complications (odds ratio 0.4; 95% CI 0.3–0.6), reduced opioid requirements, and shorter recovery time compared to general anesthesia. However, technical challenges due to anatomical characteristics, an increased risk of hypotension (15%), and a moderately higher incidence of post-dural puncture headache (3%) were observed.Conclusions: Spinal anesthesia may be a safe and effective option for morbidly obese patients when thorough planning and monitoring are implemented.
Source: Innovative medicine of Kuban
Authors: T. K. Nematulloev, M. M. Matlubov
Institution: Samarkand State Medical Institute
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413855296