Metabolic syndrome – Evidence-based strategies for patient optimization

Shuhan J. Reyes, Taylor Pak, Tiffany Sun Moon

Research output: Contribution to journalReview article

Abstract

With the increasing prevalence of obesity worldwide, it is inevitable that anesthesiologists will encounter patients with metabolic syndrome. Metabolic syndrome encompasses multiple diseases, which include central obesity, hypertension, dyslipidemia, and hyperglycemia. Given the involvement of multiple diseases, metabolic syndrome involves numerous complex pathophysiological processes that negatively impact several organ systems. Some of the organ systems that have been well-documented to be adversely affected include the cardiovascular, pulmonary, and endocrine systems. Metabolic syndrome also leads to prolonged hospital stays, increased rates of infections, a greater need for care after discharge, and overall increased healthcare costs. Several interventions have been suggested to mitigate these negative outcomes ranging from lifestyle modifications to surgeries. Therefore, anesthesiologists should understand metabolic syndrome and formulate management strategies that may modify perianesthetic and surgical risks.

Original languageEnglish (US)
Pages (from-to)131-140
Number of pages10
JournalBest Practice and Research: Clinical Anaesthesiology
Volume34
Issue number2
DOIs
StatePublished - Jun 2020

Keywords

  • anesthesia
  • insulin resistance
  • metabolic syndrome
  • obesity
  • obstructive sleep apnea
  • postoperative outcomes

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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