Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations

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.