Perioperative considerations for airway management and drug dosing in obese children

Purpose of review Childhood obesity, a phenomenon that is increasing globally, holds substantial relevance for pediatric anesthesia. In particular, understanding the nuances of airway management and drug dosing in obese children can be daunting. Recent findings Respiratory adverse events and challenges in managing the airway may be anticipated. In addition, drug-dosing strategies for the obese child are complex and poorly understood although recent advances have clarified the optimal dosing for anesthetics in these children. Summary Theoretical knowledge, practical skills, meticulous risk stratification and optimal drug regimens are crucial to ensure the safe conduct of anesthesia for obese children. Correspondence to Dr Jerrold Lerman, MD, FRCPC, FANZCA, Department of Anesthesiology, Oishei Children's Outpatient Center, 1001 Main St, Suite K-3502, Buffalo, NY 14203, USA. Tel: +1 716 323 6570; e-mail: Jerrold.lerman@gmail.com Copyright © 2018 YEAR Wolters Kluwer Health, Inc. All rights reserved.

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