Evidence map›Paper›PMID 37386567›Full record

ReviewJournal of anesthesia, analgesia and critical care2021

Emergencies in obese patients: a narrative review.

Ida Di Giacinto, Martina Guarnera, Clelia Esposito, Stefano Falcetta, Gerardo Cortese, Giuseppe Pascarella, Massimiliano Sorbello, Rita Cataldo

Abstract readReview
In one paragraph

Review in Journal of anesthesia, analgesia and critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Pediatric Difficult Airway Simulation Day.Journal of education & teaching in emergency medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Emergency in obese patients: a reply to SOBA UK.Journal of anesthesia, analgesia and critical care · 2022
    Article
  10. SOBA UK response to "emergencies in obese patients: a narrative review".Journal of anesthesia, analgesia and critical care · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ida Di GiacintoUnit of Anesthesia and Intensive Care, Mazzoni Hospital, Ascoli Piceno, Italy.
Martina GuarneraDepartment of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Sant'Orsola-Malpighi - Alma Mater Studiorum, Bologna, Italy.
Clelia EspositoDepartment of Anesthesia and Intensive Care, Ospedali dei Colli, Naples, Italy.
Stefano FalcettaDepartment of Anesthesia and Intensive Care, Clinica di Anestesia e Rianimazione Ospedali Riuniti Ancona, Ancona, Italy.
Gerardo CorteseDepartment of Anesthesia and Intensive Care, AOU Città della salute e della scienza Torino, Turin, Italy.
Giuseppe PascarellaDepartment of Anesthesia and Intensive Care, Università Campus Bio-Medico, Via Alvaro del Portillo, 200, Rome, Italy. g.pascarella@unicampus.it.ORCID http://orcid.org/0000-0002-5076-3693
Massimiliano SorbelloDepartment of Anesthesia and Intensive Care, AOU Policlinico San Marco University Hospital, Catania, Italy.
Rita CataldoDepartment of Anesthesia and Intensive Care, Università Campus Bio-Medico, Via Alvaro del Portillo, 200, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is associated to an increased risk of morbidity and mortality due to respiratory, cardiovascular, metabolic, and neoplastic diseases. The aim of this narrative review is to assess the physio-pathological characteristics of obese patients and how they influence the clinical approach during different emergency settings, including cardiopulmonary resuscitation. A literature search for published manuscripts regarding emergency and obesity across MEDLINE, EMBASE, and Cochrane Central was performed including records till January 1, 2021. Increasing incidence of obesity causes growth in emergency maneuvers dealing with airway management, vascular accesses, and drug treatment due to both pharmacokinetic and pharmacodynamic alterations. Furthermore, instrumental diagnostics and in/out-hospital transport may represent further pitfalls. Therefore, people with severe obesity may be seriously disadvantaged in emergency health care settings, and this condition is enhanced during the COVID-19 pandemic, when obesity was stated as one of the most frequent comorbidity. Emergency in critical obese patients turns out to be an intellectual, procedural, and technical challenge. Organization and anticipation based on the understanding of the physiopathology related to obesity are very important for the physician to be mentally and physically ready to face the associated issues.

Indexed as

Cardiac arrestEmergencyObesityResuscitationTrauma

Identifiers

PMID37386567
PMCPMC8590435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.