Journals / Turkish Journal of Anaesthesiology and Reanimation / 2019 / Cilt: 47 - Sayı: 6

Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations

Pages
431–438
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim of this review was to aid clinicians in the management of atelectasis in patientsundergoing bariatric surgery during the perioperative and postoperative period.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Obesity is a condition that affects multiple organ systems, particularly the cardiovascular and respiratory system.
📊
Key Findings & Data:Obesity contributes to significant postoperative atelectasis and is considered an independent risk factor for postoperativeatelectasis owing to decreased functional residual capacity.
💡
Conclusion & Impact:The aim of this review was to aid clinicians in the management of atelectasis in patientsundergoing bariatric surgery during the perioperative and postoperative period.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Obesity is a condition that affects multiple organ systems, particularly the cardiovascular and respiratory system. In recent years, bariatric surgeryhas been reported to be the gold standard in the treatment of morbid obesity. Body mass index alone is insufficient to predict risks related toanaesthesia and surgery. Obesity contributes to significant postoperative atelectasis and is considered an independent risk factor for postoperativeatelectasis owing to decreased functional residual capacity. The treatment and reversibility of atelectasis developed in obese patients undergoingbariatric surgery are challenging. Therefore, an optimisation of pulmonary functions before surgery, lung-sparing ventilation during the perioperative period, awareness of potential postoperative complications and knowledge about preventive measures and therapeutic approaches havebecome increasingly important in bariatric surgery. The aim of this review was to aid clinicians in the management of atelectasis in patientsundergoing bariatric surgery during the perioperative and postoperative period.

🔖

Cite This Article

SERİN, S. O., IŞIKLAR, A., KARAÖREN, G., EL-KHATIB, M. F., CALDEIRA, V., ESQUINAS, A. (2019). Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations. Turkish Journal of Anaesthesiology and Reanimation, Cilt: 47 - Sayı: 6, 431–438. https://ajindex.com/articles/370478

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (4)

  1. Global Health Observatory (GHO) data. Available from: URL: http://www.who.int/gho/ncd/risk_factors/overweight_text/ en/. (2017)
  2. Hruby A, Hu FB. The Epidemiology of Obesity: A Big Picture. Pharmaco Economics 2015; 33: 673-89. [CrossRef] 3. The University of Reading (UK), Research and Enterprise Services; European Commission Eatwell Report: Available from:
  3. Khwaja H, Coelho AJ, Mazzarella M, Miller K, Nimeri A, Ponce J, et al. The IFSO Website (www.ifso.com): The online gateway to obesity and metabolic disorders for bariatric surgery professionals and patients: on behalf of the IFSO communications committee. Obes Surg 2015; 25: 2176-9. [CrossRef] 5. Abdelaal M, le Roux CW, Docherty NG. Morbidity and mortality associated with obesity. Ann Transl Med 2017; 5: 161. [CrossRef] 6. Shetty S, Parthasarathy S. Obesity hypoventilation syndrome. Curr Pulmonol Rep 2015; 4: 42-55. [CrossRef] 7. Degani-Costa LH, Faresin SM, dos Reis Falcão LF. Preoperative evaluation of the patient with pulmonary disease. Braz J Anesthesiol 2014; 64: 22-34. [CrossRef] 8. Zammit C, Liddicoat H, Moonsie I, Makker H. Obesity and respiratory diseases. Int J Gen Med 2010; 3: 335-43. [CrossRef] 9. Carneiro IP, Elliott SA, Siervo M, Padwal R, Bertoli S, Battezzati A, et al. Is Obesity Associated with Altered Energy Expenditure? Adv Nutr 2016; 7: 476-87. [CrossRef] 10. O’Donnell DE, Deesomchok A, Lam YM, Guenette JA, Amornputtisathaporn N, Forkert L, et al. Effects of BMI on static lung volumes in patients with airway obstruction. Chest 2011; 140: 461-8. [CrossRef] 11. Hodgson LE, Murphy PB, Hart N. Respiratory management of the obese patient undergoing surgery. J Thorac Dis 2015; 7: 943-52
  4. Rivas E, Arismendi E, Agustí A, Sanchez M, Delgado S, Gistau C, et al. Ventilation/Perfusion distribution abnormalities in morbidly obese subjects before and after bariatric surgery. Chest 2015; 147: 1127-34. [CrossRef] 13. Mandal S, Hart N. Respiratory complications of obesity. Clin Med 2012; 12: 75-8. [CrossRef] 14. Sebbane M, El Kamel M, Millot A, Jung B, Lefebvre S, Rubenovitch J, et al. Effect of weight loss on postural changes in pulmonary function in obese subjects: a longitudinal study. Respir Care 2015; 60: 992-9. [CrossRef] 15. Esquinas Rodriguez AM, Papadakos PJ, Carron M, Cosentini R, Chiumello D. Clinical Review: Helmet and non-invasive mechanical ventilation in critically ill patients. Crit Care 2013; 17: 223. [CrossRef] 16. Baltieri