title: 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 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.
authors: Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPHRI Research School, Maastricht University, The Netherlands. Electronic address: sjaakpwls@gmail.com.
authors: Sjaak
authors: S
authors: Pouwels
authors: Department of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands; SHE School of Health Professions Education, Maastricht University, The Netherlands.
authors: Frank W J M
authors: FW
authors: Smeenk
authors: Department of Anaesthesiology, Intensive Care and Pain Medicine Catharina Hospital, Eindhoven, The Netherlands.
authors: Loes
authors: L
authors: Manschot
authors: Department of Anaesthesiology, Intensive Care and Pain Medicine Catharina Hospital, Eindhoven, The Netherlands.
authors: Bianca
authors: B
authors: Lascaris
authors: Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
authors: Simon
authors: S
authors: Nienhuijs
authors: Department of Anaesthesiology, Intensive Care and Pain Medicine Catharina Hospital, Eindhoven, The Netherlands.
authors: R Arthur
authors: RA
authors: Bouwman
authors: Department of Anaesthesiology, Intensive Care and Pain Medicine Catharina Hospital, Eindhoven, The Netherlands.
authors: Marc P
authors: MP
authors: Buise
mesh_terms: D000758:Anesthesia / Q000009:adverse effects*; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008297:Male; D009765:Obesity / Q000150:complications / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D012129:Respiratory Function Tests / Q000379:methods; D012143:Respiratory Physiological Phenomena / Q000187:drug effects*; D012138:Respiratory Therapy / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000139:chemically induced
keywords: Lung function; Obesity; Perioperative care; Respiratory physiology