Reference : Postoperative respiratory problems in morbidly obese patients.
Scientific journals : Article
Human health sciences : Anesthesia & intensive care
http://hdl.handle.net/2268/32850
Postoperative respiratory problems in morbidly obese patients.
English
Hans, Grégory mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Lauwick, Séverine mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Kaba, Abdourahmane mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Brichant, Jean-François mailto [Université de Liège - ULg > Département des sciences cliniques > Anesthésie et réanimation >]
Joris, Jean mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
2009
Acta Anaesthesiologica Belgica
Acta Medica Belgica
60
3
169-75
Yes (verified by ORBi)
International
0001-5164
Bruxelles
Belgique
[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.
http://hdl.handle.net/2268/32850

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