Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations
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Review
P: 431-438
December 2019

Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations

Turk J Anaesthesiol Reanim 2019;47(6):431-438
1. Department of Internal Medicine, Health Sciences University, Ümraniye Training and Research Hospital, İstanbul, Turkey
2. Department of Internal Medicine, Martyr Professor İlhan Varank Sancaktepe Training and Research Hospital, İstanbul, Turkey
3. Department of Anaesthesiology and Reanimation, Health Sciences University, Ümraniye Training and Research Hospital, İstanbul, Turkey
4. Department of Anaesthesiology, American University of Beirut-Medical Center, Beirut, Lebanon
5. Department of Pneumology, Hospital Santa Maria, Lisboa, Portugal
6. Department of Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain
No information available.
No information available
Received Date: 09.11.2018
Accepted Date: 14.01.2019
Publish Date: 02.09.2019
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ABSTRACT

Obesity is a condition that affects multiple organ systems, particularly the cardiovascular and respiratory system. In recent years, bariatric surgery has been reported to be the gold standard in the treatment of morbid obesity. Body mass index alone is insufficient to predict risks related to anaesthesia and surgery. Obesity contributes to significant postoperative atelectasis and is considered an independent risk factor for postoperative atelectasis owing to decreased functional residual capacity. The treatment and reversibility of atelectasis developed in obese patients undergoing bariatric surgery are challenging. Therefore, an optimisation of pulmonary functions before surgery, lung-sparing ventilation during the perioperative period, awareness of potential postoperative complications and knowledge about preventive measures and therapeutic approaches have become increasingly important in bariatric surgery. The aim of this review was to aid clinicians in the management of atelectasis in patients undergoing bariatric surgery during the perioperative and postoperative period.