Atelectasis in Bariatric Surgery. Review Analysis and Key Practical Recommendations [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-66564 | DOI: 10.5152/TJAR.2019.66564  

Atelectasis in Bariatric Surgery. Review Analysis and Key Practical Recommendations

Sibel Ocak Serin1, Aysun Isiklar2, Gulsah Karaoren3, Mohamed Fawzy El-Khatib4, Vania Caldeira5, Antonio Esquinas6
1Department Of Internal Medicine, Health Sciences University, Umraniye Training And Research Hospital, Istanbul, Turkey
2Department Of Internal Medicine, Martyr Professor İlhan Varank Sancaktepe Training And Research Hospital, Istanbul, Turkey
3Department Of Anaesthesiology And Reanimation, Health Sciences University, Umraniye Training And Research Hospital, Istanbul, Turkey
4Department Of Anaesthesiology, American University Of Beirut-Medical Center, Beirut, Lebanon.
5Department of Pneumology, Hospital Santa Maria, Lisboa, Portugal
6Department Of Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain

Obesity is a disease that affects multiple organs system, particularly cardiovascular and respiratory systems. In recent years, bariatric surgery has been reported to be the gold standard in the treatment of morbid obesity. Body mass index (BMI) alone is insufficient to predict risks related to anesthesia and surgery. Obesity contributes to significant postoperative atelectasis and is considered as an independent risk factor for postoperative through decreased functional residual capacity. The treatment and reversibility of atelectasis developed in obese patients undergoing bariatric surgeries are challenging. Thus, optimization 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. This review aimed to aid clinicians in the management of atelectasis during perioperative and postoperative period in patients undergoing bariatric surgery.

Keywords: Atelectasis, bariatric surgery, obesity




Corresponding Author: Sibel Ocak Serin, Türkiye


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