ASA Offers Safety Tips for Obese Children Undergoing Surgery

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Pediatric obesity poses greater airway risks, anesthesiologists warn.


With the CDC estimating that nearly 17% of U.S. children and adolescents are obese, the American Society of Anesthesiologists is offering tips for parents preparing obese children for surgery.

Pediatric surgery and anesthesia already pose challenges because children's airways are still developing. Those challenges are exacerbated when children and adolescents have a body mass index greater than 30.

"Obese children have extra tissue surrounding their airway, chest, and abdomen that can impair breathing while under anesthesia, and limit the amount of oxygen they receive during surgery," explains Mark Singleton, MD, chair of the ASA committee on pediatric anesthesia. "This can lead to a range of complications, including impairment of lung function and in severe circumstances even brain damage."

The ASA is urging parents to educate themselves about these risks and take steps to help their children lead healthier lifestyles. To prevent surgical complications, the ASA recommends that parents:

  • Learn about the risks and make sure their anesthesia providers have experience with obese youth.

  • Set reasonable long-term and short-term goals for their children to lose weight. "Even a small amount of weight loss [before surgery] can have a good impact on your child's surgical outcome."

    Encourage healthy eating and daily exercise both before and after surgery (once approved by the surgeon).

  • Follow the ASA's general guidelines on preparing children for surgery.

    More information about pediatric obesity and the risks it poses to children undergoing surgery and anesthesia is available on the ASA's Lifeline to Modern Medicine website.

    Irene Tsikitas

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