Postoperative respiratory problems in morbidly obese patients.

[en] 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.

Disciplines :

Anesthesia & intensive care

Author, co-author :

Hans, Grégory ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation

Lauwick, Séverine ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation

Kaba, Abdourahmane ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation

Brichant, Jean-François ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation

Joris, Jean ; Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation

Language :

English

Title :

Postoperative respiratory problems in morbidly obese patients.

Publication date :

2009

Journal title :

Acta Anaesthesiologica Belgica

ISSN :

0001-5164

eISSN :

2736-5239

Publisher :

Acta Medica Belgica, Bruxelles, Belgium

Volume :

Issue :

Pages :

169-75

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 16 December 2009

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