Perioperative respiratory care in obese patients undergoing bariatric surgery: Implications for clinical practice

Abstract Obesity is an increasing problem worldwide. The number of people with obesity doubled since the 1980’s to affect an estimated 671 million people worldwide. Obese patients in general have an altered respiratory physiology and can have an impaired lung function, which leads to an increased ri...

Full description

Saved in:
Bibliographic Details
Published inRespiratory medicine Vol. 117; pp. 73 - 80
Main Authors Pouwels, Sjaak, Smeenk, Frank W.J.M, Manschot, Loes, Lascaris, Bianca, Nienhuijs, Simon, Bouwman, R. Arthur, Buise, Marc P
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.08.2016
Elsevier Limited
Subjects
Abdomen
Anesthesia - adverse effects
Asthma
Bariatric Surgery - adverse effects
Bariatric Surgery - methods
Body fat
Body mass index
Compliance
Female
Gastrointestinal surgery
Humans
Laparoscopy
Lung - physiopathology
Lung function
Male
Obesity
Obesity - complications
Obesity - epidemiology
Obesity - surgery
Obesity - therapy
Patients
Perioperative Care
Physiology
Postoperative Complications - prevention & control
Pulmonary/Respiratory
Ratios
Respiratory Function Tests - methods
Respiratory Physiological Phenomena - drug effects
Respiratory physiology
Respiratory system
Respiratory Therapy - methods
Studies
Tuberculosis, Pulmonary - chemically induced
Ventilation
Women
Obesity
Lung function
Perioperative care
Respiratory physiology
Online AccessGet full text

Cover

More Information
Summary:Abstract Obesity is an increasing problem worldwide. The number of people with obesity doubled since the 1980’s to affect an estimated 671 million people worldwide. Obese patients in general have an altered respiratory physiology and can have an impaired lung function, which leads to an increased risk of developing pulmonary complications during anaesthesia and after bariatric surgery (approximately 8%). Therefore the respiratory management of the bariatric surgical patient provides a number of challenges. This review will focus on the perioperative respiratory care in bariatric surgical patients discussing respiratory physiology in the obese and perioperative respiratory care in bariatric surgery. Finally the value of preoperative pulmonary function testing and preoperative OSAS screening will be discussed.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0954-6111
1532-3064
DOI:10.1016/j.rmed.2016.06.004