Different Treatment Strategies in Reducing the Incidence of Major Post-Operative Pulmonary Complications in Morbidly Obese Patients Undergoing Bariatric Surgery

Document Type : Research Article

Authors

1 Assistant Lecturer, Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Egypt

2 Professor and Chairman, Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Egypt.

3 Lecturer, Department of Anesthesia and Intensive Care, Faculty of Medicine, Suez Canal University, Egypt.

Abstract

Laparoscopic bariatric surgery is a well-established operation that is frequently carried out in the reverse Trendelenburg position. It is widely known that postoperative pulmonary complications (PPCs), particularly postoperative respiratory failure, significantly increase postoperative length of hospital stay as well as perioperative morbidity and death. Various methods were employed to reduce post-operative problems. Therefore, the purpose of this review was to outline various methods for reducing post-operative problems following bariatric surgery.

Obesity considerably impairs respiratory performance by reducing lung volume, especially the functional residual capacity (FRC) and expiratory reserve volume (ERV). Strength and resistance may decrease as a result of the respiratory muscles' inefficiency. All of these elements contribute to inspiratory overload, which raises the amount of oxygen consumed, the respiratory energy used, and the amount of effort required to breathe.

The interaction of genes with the environment, lifestyle, and emotional variables leads to the complex and multifaceted etiology of obesity. A significant risk factor for obesity is the modern lifestyle.

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History

  • Receive Date: 24 June 2024
  • Revise Date: 08 August 2024
  • Accept Date: 06 August 2024

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