ISSN: 2155-6148
+44 1223 790975
Hinnerk Wulf
Germany
Research Article
Respiratory Impairment in the Obese Following General
Anesthesia –Impact of Anaesthesia and Patient Related
Factors
Author(s): Martin Zoremba, Gerald Kalmus, Thorsten Steinfeldt, Helge Müller, Hinnerk Wulf and Frank DetteMartin Zoremba, Gerald Kalmus, Thorsten Steinfeldt, Helge Müller, Hinnerk Wulf and Frank Dette
Background: Respiratory impairment is common in the perioperative period, especially in the obese. In this study we evaluated the impact of anesthesia related factors, use of neuromuscular blocking agents, choice of anesthesia maintenance, duration of surgery and patient related factors such as age, gender and body-mass index on postoperative pulse oximetry and lung function in the obese. Methods: We studied postoperative lung function and pulse oximetry saturation in 397 obese or overweight patients (Body Mass Index 25-40) undergoing minor surgery . Inspiratory and exspiratory lung function as well as pulse oximetry were measured preoperatively (baseline) and at 10min, 0.5h, 2h and 24h after surgery, with the patient supine, in a 30° head-up position. All factors were added within stepwise regression analysis to create a statistical model. Further analysis was performed using the.. View More»
DOI:
10.4172/2155-6148.1000108