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Published in:

01-01-2008

Challenges in Pulmonary Risk Assessment and Perioperative Management in Bariatric Surgery Patients

Authors: Roop Kaw, Loutfi Aboussouan, Dennis Auckley, Charles Bae, David Gugliotti, Paul Grant, Wael Jaber, Philip Schauer, Daniel Sessler

Published in: Obesity Surgery | Issue 1/2008

Abstract

Bariatric surgery has serious associated medical comorbidity and procedure-related risks and is, thus, considered an intermediate-to-high-risk non-cardiac surgery. Altered respiratory mechanics, obstructive sleep apnea (OSA), and less often, pulmonary hypertension and postoperative pulmonary embolism are the major contributors to poor pulmonary outcomes in obese patients. Attention to posture and positioning is critical in patients with OSA. Suspected OSA patients requiring intravenous narcotics should be kept in a monitored setting with frequent assessments and naloxone kept at the bedside. Use of reverse Tredelenburg position, preinduction, maintenance of positive end-expiratory pressure, and use of continuous positive airway pressure can help improve oxygenation in the perioperative period.

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Title: Challenges in Pulmonary Risk Assessment and Perioperative Management in Bariatric Surgery Patients
Authors: Roop Kaw
Loutfi Aboussouan
Dennis Auckley
Charles Bae
David Gugliotti
Paul Grant
Wael Jaber
Philip Schauer
Daniel Sessler
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 1/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-007-9282-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Challenges in Pulmonary Risk Assessment and Perioperative Management in Bariatric Surgery Patients

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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