Postoperative respiratory problems in morbidly obese patients.
Acta Anaesthesiol Belg
; 60(3): 169-75, 2009.
Article
en En
| MEDLINE
| ID: mdl-19961114
ABSTRACT
Morbid obesity results in a restrictive pulmonary syndrome including decreased functional residual capacity. General anaesthesia further decreases functional residual capacity, and consequently alters gas exchanges more profoundly in morbidly obese patients than in nonobese patients. Moreover, these changes persist longer during the postoperative period, rendering obese subjects vulnerable to postoperative respiratory complications. In this review, we present postoperative measures improving respiratory function of these patients. Whether these measures affect outcome remains however unknown. Patients suffering from obstructive sleep apnoea syndrome deserve special considerations that are briefly described. Finally, the algorithm of the postoperative respiratory management of morbid obese patients used in our institution is provided.
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Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Enfermedades Respiratorias
/
Obesidad Mórbida
Límite:
Humans
Idioma:
En
Revista:
Acta Anaesthesiol Belg
Año:
2009
Tipo del documento:
Article
País de afiliación:
Bélgica