Obesity has risen to new heights and encompasses 23% of the world's population. Obesity in adolescents has increased four-fold over the last two decades. The use of GLP-1 receptor agonists has grown exponentially. In addition, there has also been a shift to more durable weight loss methods such as endoscopic bariatric and metabolic therapies (EBMT) as an alternative or adjunct to surgical techniques (Clin Gastroenterol Hepatol 2017:15:619-30). Increased BMI may be associated with higher adipose mass, a reduction in total body water, higher glomerular filtration rate (GFR), and normal hepatic clearance (Gastrointest Endosc Clin N Am 2016; 26: 527-37). This can cause a higher sedation requirement. Airway management can also be potentially more difficult in patients with obesity, as these procedures employ distinctive equipment that has unique implications. Hence, choice and deployment of anesthetic techniques need careful planning and execution.
Patients are evaluated in the bariatric...
