Screening and Perioperative Management of Obesity Hypoventilation Syndrome
Abstract
:1. Introduction
2. Clinical Presentation and Preoperative Evaluation
2.1. Polysomnography
2.2. Serum Bicarbonate and Arterial Blood Gas Analysis
3. Pathophysiology That Can Play into Perioperative Complications and Consequent Management
4. OHS Patient and Ambulatory Surgery
5. Intraoperative Considerations
5.1. Airway Management
5.2. Positioning and Pre-Oxygenation
5.3. Type of Anesthesia
5.3.1. Local/Regional Anesthesia
5.3.2. General Anesthesia
5.4. Intraoperative Ventilation Strategies
6. Postoperative Considerations
6.1. Postoperative Complications
6.2. Extubation and Postoperative Recovery
6.3. Postoperative Monitoring in the PACU
6.4. Challenges and Future Research
Funding
Conflicts of Interest
Abbreviations
BMI | Body Mass Index |
AHI | Apnea–Hypopnea Index |
OSA | Obstructive Sleep Apnea |
SRH | Sleep-Related Hypoventilation |
COPD | Chronic Obstructive Pulmonary Disease |
OHS | Obesity Hypoventilation Syndrome |
PSG | Polysomnography |
ABG | Arterial Blood Gas |
PH | Pulmonary Hypertension |
FVC | Forced Vital Capacity |
PFT | Pulmonary Function Test |
FRC | Functional Residual Capacity |
ERV | Expiratory Reserve Volume |
ICU | Intensive Care Unit |
CPAP | Continuous Positive Airway Pressure |
LBW | Lean Body Weight |
TBW | Total Body Weight |
PEEP | Positive End Expiratory Pressure |
CHF | Congestive Heart Failure |
CAD | Coronary Artery Disease |
NCS | Non-Cardiac Surgery |
HELP | Head Elevation Laryngoscopy Position |
PAP | Positive Airway Pressure |
IPAP | Inspiratory Positive Airway Pressure |
EPAP | Expiratory Positive Airway Pressure |
TV | Tidal Volume |
REM | Rapid Eye movement |
PACU | Post-Anesthesia Care Unit |
OIRD | Opioid-Induced Respiratory Depression |
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Kaw, R.; Dupuy-McCauley, K.; Wong, J. Screening and Perioperative Management of Obesity Hypoventilation Syndrome. J. Clin. Med. 2024, 13, 5000. https://doi.org/10.3390/jcm13175000
Kaw R, Dupuy-McCauley K, Wong J. Screening and Perioperative Management of Obesity Hypoventilation Syndrome. Journal of Clinical Medicine. 2024; 13(17):5000. https://doi.org/10.3390/jcm13175000
Chicago/Turabian StyleKaw, Roop, Kara Dupuy-McCauley, and Jean Wong. 2024. "Screening and Perioperative Management of Obesity Hypoventilation Syndrome" Journal of Clinical Medicine 13, no. 17: 5000. https://doi.org/10.3390/jcm13175000