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Abstract from the national medical care survey, it was found that less than 1% the pediatric population was diagnosed with obesity. The standered method for classifying obesity is Body mass index, which is affected by age, gender and puberty in pediatric. Obesity may be the result of excessive caloric intake, or genetic syndrome or endocrinal or psychological disturbance. Twins studies suggest that genetic factors are more important than environmental factors in determining obesity. Pediatric obesity is a multiorgan affecting disease process. The evidence is that obese pediatric patients become obese adult patients who are likely to suffer from the obesity-related diseases such as hypertension, hypercholesterolemia, hypertriglyceridemia, atherosclerosis and diabetes. With the derangement of physiology of different systems including respiratory, cardiac, endocrinal, neurological musculoskeletal and gastro intestinal systems. Difficulties in management of airway, regional techniques and peripheral venous access make anesthesia, in obese pediatrics a challenge. So anesthiologists play a critical role in decreasing the risk of perioperative and post operative complications by careful planning and preparation. |