Perioperative respiratory care in obese patients undergoing bariatric surgery: Implications for clinical practice

Sjaak Pouwels; Frank W.J.M. Smeenk; Loes Manschot; Bianca Lascaris; Simon Nienhuijs; R. Arthur Bouwman; Marc P. Buise

doi:10.1016/j.rmed.2016.06.004

Perioperative respiratory care in obese patients undergoing bariatric surgery: Implications for clinical practice

Sjaak Pouwels
, Frank W.J.M. Smeenk
, Loes Manschot
, Bianca Lascaris
, Simon Nienhuijs
, R. Arthur Bouwman
, Marc P. Buise

Research output: Contribution to journal › Review article › peer-review

22 Citations (Scopus)

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.

Original language	English
Pages (from-to)	73-80
Number of pages	8
Journal	Respiratory Medicine
Volume	117
DOIs	https://doi.org/10.1016/j.rmed.2016.06.004
Publication status	Published - Aug 2016
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Anesthesia/adverse effects
Bariatric Surgery/adverse effects
Female
Humans
Lung/physiopathology
Male
Obesity/complications
Perioperative Care
Postoperative Complications/prevention & control
Respiratory Function Tests/methods
Respiratory Physiological Phenomena/drug effects
Respiratory Therapy/methods
Tuberculosis, Pulmonary/chemically induced

Access to Document

10.1016/j.rmed.2016.06.004

Cardiovascular Medicine
van de Laar, L. (Content manager) & Jansen, J. (Content manager)
Impact: Research Topic/Theme (at group level)

Cite this

@article{10a170ff5e8341fb891219dddc91d7aa,

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.",

keywords = "Anesthesia/adverse effects, Bariatric Surgery/adverse effects, Female, Humans, Lung/physiopathology, Male, Obesity/complications, Perioperative Care, Postoperative Complications/prevention \& control, Respiratory Function Tests/methods, Respiratory Physiological Phenomena/drug effects, Respiratory Therapy/methods, Tuberculosis, Pulmonary/chemically induced",

author = "Sjaak Pouwels and Smeenk, \{Frank W.J.M.\} and Loes Manschot and Bianca Lascaris and Simon Nienhuijs and Bouwman, \{R. Arthur\} and Buise, \{Marc P.\}",

year = "2016",

month = aug,

doi = "10.1016/j.rmed.2016.06.004",

language = "English",

volume = "117",

pages = "73--80",

journal = "Respiratory Medicine",

issn = "0954-6111",

publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Perioperative respiratory care in obese patients undergoing bariatric surgery

T2 - Implications for clinical practice

AU - Pouwels, Sjaak

AU - Smeenk, Frank W.J.M.

AU - Manschot, Loes

AU - Lascaris, Bianca

AU - Nienhuijs, Simon

AU - Bouwman, R. Arthur

AU - Buise, Marc P.

PY - 2016/8

Y1 - 2016/8

N2 - 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.

AB - 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.

KW - Anesthesia/adverse effects

KW - Bariatric Surgery/adverse effects

KW - Female

KW - Humans

KW - Lung/physiopathology

KW - Male

KW - Obesity/complications

KW - Perioperative Care

KW - Postoperative Complications/prevention & control

KW - Respiratory Function Tests/methods

KW - Respiratory Physiological Phenomena/drug effects

KW - Respiratory Therapy/methods

KW - Tuberculosis, Pulmonary/chemically induced

U2 - 10.1016/j.rmed.2016.06.004

DO - 10.1016/j.rmed.2016.06.004

M3 - Review article

C2 - 27492516

SN - 0954-6111

VL - 117

SP - 73

EP - 80

JO - Respiratory Medicine

JF - Respiratory Medicine

ER -

Perioperative respiratory care in obese patients undergoing bariatric surgery: Implications for clinical practice

Abstract

UN SDGs

Keywords

Access to Document

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Research areas

Cardiovascular Medicine

Cite this