SUMMARY
Obesity is one of the urgent problems of modern healthcare, causing a number of serious diseases and significantly affecting the quality of life of people. Currently, one of the most effective methods of treating obesity is bariatric surgery. The perioperative period of these surgical interventions sets very multifaceted goals for anesthesiologists and requires a special approach. The aim of this review is to evaluate the anesthesiological aspects of the perioperative period during bariatric surgery, to present modern approaches that ensure patient safety and optimal outcome. In the preoperative stage, difficult airway, obstructive sleep apnea and assessment of comorbidities are important. In the intraoperative period, videolaryngoscopy, optimal ventilation, positioning and opioid-free analgesia methods are recommended. In the postoperative stage, multimodal analgesia, respiratory monitoring and early mobilization improve patient outcomes. The application of evidence-based anesthesiological approaches during bariatric surgery contributes to reducing perioperative complications and accelerating rehabilitation. Anesthesiologist-surgeon collaboration and an individualized approach are the basis of this process. The article discusses the impact of obesity on anesthetic management, important problems arising in the perioperative period, their modern solutions and directions for future research.
Keywords: bariatric surgery, obesity, anesthetic management, perioperative risks, ventilation problems, sleep apnea

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