Obesity and Obstructive Sleep Apnea in the Ambulatory Patient

Gaganpreet Grewal; Girish P Joshi

doi:10.1016/j.anclin.2019.01.001

Obesity and Obstructive Sleep Apnea in the Ambulatory Patient

Anesthesiol Clin. 2019 Jun;37(2):215-224. doi: 10.1016/j.anclin.2019.01.001. Epub 2019 Mar 1.

Authors

Gaganpreet Grewal¹, Girish P Joshi²

Affiliations

¹ University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA. Electronic address: gaganpreet.grewal@utsouthwestern.edu.
² University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-7208, USA.

PMID: 31047125
DOI: 10.1016/j.anclin.2019.01.001

Abstract

Obesity and obstructive sleep apnea (OSA) are often associated with increased perioperative risks and challenges for the anesthesiologist. This article addresses the current controversies surrounding perioperative care of morbidly obese patients with or without OSA scheduled for ambulatory surgery, particularly in a free-standing ambulatory center. Topics discussed include preoperative selection of obese and OSA patients for ambulatory surgeries, intraoperative methods to reduce perioperative risk, and appropriate postoperative care.

Keywords: Ambulatory surgery; Obesity; Obstructive sleep apnea; Patient safety; Patient selection; Perioperative outcomes.

Publication types

Review

MeSH terms

Ambulatory Surgical Procedures / methods*
Anesthesia / methods*
Humans
Mass Screening
Obesity / complications*
Obesity / diagnosis
Obesity, Morbid / complications
Oximetry
Perioperative Care
Sleep Apnea, Obstructive / complications*
Sleep Apnea, Obstructive / diagnosis