Obesity Hypoventilation Syndrome and Anesthesia

被引:26
作者
Chau, Edmond H. L. [1 ]
Mokhlesi, Babak [2 ]
Chung, Frances [1 ]
机构
[1] Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Anesthesiol, Toronto, ON M5T 2S8, Canada
[2] Univ Chicago, Pritzker Sch Med, Sleep Disorders Ctr, Sect Pulm & Crit Care Med,Dept Med, Chicago, IL 60637 USA
关键词
Obesity hypoventilation syndrome; Perioperative management; Positive airway pressure;
D O I
10.1016/j.jsmc.2012.11.006
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Patients with obesity hypoventilation syndrome (OHS) have a higher burden of comorbidities and increased risk for perioperative morbidity and mortality. Therefore, a thorough plan of evaluation and management is essential for patients with OHS who undergo surgery. Currently, information on the perioperative management of OHS is extremely limited in the literature. As the prevalence of OHS is likely to increase as a result of the current global obesity epidemic, it is crucial for physicians to recognize and manage patients with this syndrome. This review examines the current data on OHS and discusses its optimal perioperative management.
引用
收藏
页码:135 / +
页数:15
相关论文
共 118 条
[21]   High STOP-Bang score indicates a high probability of obstructive sleep apnoea [J].
Chung, F. ;
Subramanyam, R. ;
Liao, P. ;
Sasaki, E. ;
Shapiro, C. ;
Sun, Y. .
BRITISH JOURNAL OF ANAESTHESIA, 2012, 108 (05) :768-775
[22]   STOP questionnaire - A tool to screen patients for obstructive sleep apnea [J].
Chung, Frances ;
Yegneswaran, Balaji ;
Liao, Pu ;
Chung, Sharon A. ;
Vairavanathan, Santhira ;
Islam, Sazzadul ;
Khajehdehi, Ali ;
Shapiro, Colin M. .
ANESTHESIOLOGY, 2008, 108 (05) :812-821
[23]   Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients [J].
Chung, Frances ;
Yegneswaran, Balaji ;
Liao, Pu ;
Chung, Sharon A. ;
Vairavanathan, Santhira ;
Islam, Sazzadul ;
Khajehdehi, Ali ;
Shapiro, Colin M. .
ANESTHESIOLOGY, 2008, 108 (05) :822-830
[24]   A Systemic Review of Obstructive Sleep Apnea and Its Implications for Anesthesiologists [J].
Chung, Sharon A. ;
Yuan, Hongbo ;
Chung, Frances .
ANESTHESIA AND ANALGESIA, 2008, 107 (05) :1543-1563
[25]   Serum immunoreactive leptin concentrations in normal-weight and obese humans [J].
Considine, RV ;
Sinha, MK ;
Heiman, ML ;
Kriauciunas, A ;
Stephens, TW ;
Nyce, MR ;
Ohannesian, JP ;
Marco, CC ;
McKee, LJ ;
Bauer, TL ;
Caro, JF .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (05) :292-295
[26]  
Contal O, 2012, CHEST
[27]   Obstructive sleep apnoea is independently associated with an increased prevalence of metabolic syndrome [J].
Coughlin, SR ;
Mawdsley, L ;
Mugarza, JA ;
Calverley, PMA ;
Wilding, JPH .
EUROPEAN HEART JOURNAL, 2004, 25 (09) :735-741
[28]   Short-term and long-term effects of nasal intermittent positive pressure ventilation in patients with obesity-hypoventilation syndrome [J].
de Llano, LAP ;
Golpe, R ;
Piquer, MO ;
Racamonde, AV ;
Caruncho, MV ;
Muinelos, OC ;
Carro, CA .
CHEST, 2005, 128 (02) :587-594
[29]   Clinical heterogeneity among patients with obesity hypoventilation syndrome:: Therapeutic implications [J].
de Llano, Luis A. Perez ;
Golpe, Rafael ;
Piquer, Montserrat Ortiz ;
Racamonde, Alejandro Veres ;
Caruncho, Manuel Vazquez ;
Lopez, Maria J. ;
Farinas, Maria Carmen .
RESPIRATION, 2008, 75 (01) :34-39
[30]   Benefits at 1 year of nocturnal intermittent positive pressure ventilation in patients with obesity-hypoventilation syndrome [J].
de Lucas-Ramos, P ;
de Miguel-Díez, J ;
Santacruz-Siminiani, A ;
González-Moro, JMR ;
Buendía-García, M ;
Izquierdo-Alonso, JL .
RESPIRATORY MEDICINE, 2004, 98 (10) :961-967