Saudi Journal of Anaesthesia

REVIEW ARTICLE
Year
: 2022  |  Volume : 16  |  Issue : 3  |  Page : 299--305

Patients with sleep-disordered breathing for bariatric surgery


Matthew W Oh, Joy L Chen, Tiffany S Moon 
 Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, United States

Correspondence Address:
Tiffany S Moon
5323 Harry Hines Blvd., Dallas, TX
United States

The prevalence of patients with obesity continues to rise worldwide and has reached epidemic proportions. There is a strong correlation between obesity and sleep-disordered breathing (SDB), and, in particular, obstructive sleep apnea (OSA). OSA is often undiagnosed in the surgical population. Bariatric surgery has been recognized as an effective treatment option for both obesity and OSA. Laparoscopic bariatric procedures, particularly laparoscopic sleeve gastrectomy (LSG), have become the most frequently performed procedures. OSA has been identified as an independent risk factor for perioperative complications and failure to recognize and prepare for patients with OSA is a major cause of postoperative adverse events, suggesting that all patients undergoing bariatric surgery should be screened preoperatively for OSA. These patients should be treated with an opioid-sparing analgesic plan and continuous positive airway pressure (CPAP) perioperatively to minimize respiratory complications. With the number of bariatric surgical patients with SDB likely to continue rising, it is critical to understand the best practices to manage this patient population.


How to cite this article:
Oh MW, Chen JL, Moon TS. Patients with sleep-disordered breathing for bariatric surgery.Saudi J Anaesth 2022;16:299-305


How to cite this URL:
Oh MW, Chen JL, Moon TS. Patients with sleep-disordered breathing for bariatric surgery. Saudi J Anaesth [serial online] 2022 [cited 2022 Aug 8 ];16:299-305
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=3;spage=299;epage=305;aulast=Oh;type=0