Turkish Journal of Anaesthesiology & Reanimation
REVIEW

Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations

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

Turk J Anaesthesiol Reanim 2019; 47: 431-438
DOI: 10.5152/TJAR.2019.66564
Read: 54 Downloads: 15 Published: 04 December 2019

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.

Cite this article as: Ocak Serin S, Işıklar A, Karaören G, El-Khatib MF, Caldeira V, Esquinas A. Atelectasis in Bariatric Surgery: Review Analysis and Key Practical Recommendations. Turk J Anaesthesiol Reanim 2019; 47(6): 431-8.

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