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.


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