Morbid obesity and perioperative complications

Current Opinion in Anaesthesiology

Volumn 29, Issue 1, 2016, Pages 103-108

  Tsai, Andrea ^a   Schumann, Roman ^a  

^a TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

obesity; outcomes; perioperative complications

Indexed keywords

ACUTE KIDNEY FAILURE; ADULT RESPIRATORY DISTRESS SYNDROME; ARTICLE; ATELECTASIS; BARIATRIC SURGERY; BODY MASS; CARDIOVASCULAR DISEASE; CARDIOVASCULAR RISK; COMORBIDITY; CONGESTIVE HEART FAILURE; EVIDENCE BASED PRACTICE; FUNCTIONAL STATUS; HEART ARREST; HEART INFARCTION; HUMAN; KIDNEY FAILURE; METABOLIC SYNDROME X; MORBID OBESITY; OBESITY HYPOVENTILATION SYNDROME; PEROPERATIVE COMPLICATION; PNEUMOTHORAX; PRACTICE GUIDELINE; PRIORITY JOURNAL; PULMONARY HYPERTENSION; RESPIRATORY DISTRESS SYNDROME; RHABDOMYOLYSIS; RISK ASSESSMENT; SLEEP DISORDERED BREATHING; SURGICAL INFECTION; THROMBOEMBOLISM; CARDIOVASCULAR DISEASES; COMPLICATION; OBESITY, MORBID; POSTOPERATIVE COMPLICATION; RISK FACTOR; SLEEP APNEA, OBSTRUCTIVE;

CARDIOVASCULAR DISEASES; HUMANS; INTRAOPERATIVE COMPLICATIONS; OBESITY, MORBID; POSTOPERATIVE COMPLICATIONS; RISK FACTORS; SLEEP APNEA, OBSTRUCTIVE;

EID: 84952719777     PISSN: 09527907     EISSN: 14736500     Source Type: Journal    
DOI: 10.1097/ACO.0000000000000279     Document Type: Article

References (47)

1. Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014; 384:766-781.
2. Wanderer JP, Rathmell JP. Randomized controlled trials vs. administrative database studies. Anesthesiology 2015; 123:A23.
3. Murphy M, Alavi K, Maykel J. Working with existing databases. Clin Colon Rectal Surg 2013; 26:5-11.
4. Alberti KGMM, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009; 120:1640-1645.
5. Ward DT, Metz LN, Horst PK, et al. Complications of morbid obesity in total joint arthroplasty: risk stratification based on BMI. J Arthroplasty 2015; 30:42-46.
6. Sood A, Abdollah F, Sammon JD, et al. The effect of body mass index on perioperative outcomes after major surgery: results from the National Surgical Quality Improvement Program (ACS-NSQIP) 2005-2011. World J Surg 2015; 39:2376-2385.
7. Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. Circulation 2014; 130:2215-2245.
8. Gupta PK, Gupta H, Sundaram A, et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation 2011; 124:381-387.
9. Ortiz VE, Kwo J. Obesity: physiologic changes and implications for preoperative management. BMC Anesthesiol 2015; 15:97.
10. Fernandez-Bustamante A, Hashimoto S, Serpa Neto A, et al. Perioperative lung protective ventilation in obese patients. BMC Anesthesiol 2015; 15:56.
11. American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report by the American Society of Anesthesiologists Task Force on perioperative management of patients with obstructive sleep apnea. Anesthesiology 2014; 120:268-286.
12. Piper A. Obesity hypoventilation syndrome: weighing in on therapy options. Chest 2015. doi:10.1378/chest.15-0681.
13. Ravesloot MJL, van Maanen JP, Hilgevoord AAJ, et al. Obstructive sleep apnea is underrecognized and underdiagnosed in patients undergoing bariatric surgery. Eur Arch Otorhinolaryngol 2012; 269:1865-1871.
14. Yang CK, Teng A, Lee DY, Rose K. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res 2015; 198:441-449.
15. Gupta H,Gupta PK, Fang X, et al.Development and validation of a risk calculator predicting postoperative respiratory failure. Chest 2011; 140:1207-1215.
16. Schumann R, Shikora SA, Sigl JC, Kelley SD. Association of metabolic syndrome and surgical factors with pulmonary adverse events, and longitudinal mortality in bariatric surgery. Br J Anaesth 2015; 114:83-90.
17. Mokhlesi B, Hovda MD, Vekhter B, et al. Sleep-disordered breathing and postoperative outcomes after elective surgery: analysis of the nationwide inpatient sample. Chest 2013; 144:903-914.
18. Abdelsattar ZM, Hendren S, Wong SL, et al. The impact of untreated obstructive sleep apnea on cardiopulmonary complications in general and vascular surgery: a cohort study. Sleep 2015; 38:1205-1210.
19. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient:2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract 2013; 19:337-372.
20. Chung F, Subramanyam R, Liao P, et al. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth 2012; 108:768-775.
21. Chung F, Yang Y, Liao P. Predictive performance of the STOP-Bang score for identifying obstructive sleep apnea in obese patients. Obes Surg 2013; 23:2050-2057.
22. Mutter TC, Chateau D, Moffatt M, et al. A matched cohort study of postoperative outcomes in obstructive sleep apnea: could preoperative diagnosis and treatment prevent complications? Anesthesiology 2014; 121:707-718.
23. Hibbert K, Rice M, Malhotra A. Obesity and ARDS. Chest 2012; 142:785-790.
24. Littleton SW. Impact of obesity on respiratory function. Respirology 2012; 17:43-49.
25. PROVE Network Investigators for the Clinical Trial Network of the European Society of Anaesthesiology. Hemmes SNT, Gama de Abreu M, Pelosi P, Schultz MJ. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Lancet 2014; 384:495-503.
26. Jaber S, Coisel Y, Chanques G, et al. A multicentre observational study of intra-operative ventilatory management during general anaesthesia: tidal volumes and relation to body weight. Anaesthesia 2012; 67:999-1008.
27. Protective Ventilation With Higher Versus Lower PEEP During General Anesthesia for Surgery in Obese Patients-Full Text View-ClinicalTrials.gov [Internet]. https://clinicaltrials.gov/ct2/show/NCT02148692. [Accessed 31 October 2015]
28. Defresne AA, Hans GA, Goffin PJ, et al. Recruitment of lung volume during surgery neither affects the postoperative spirometry nor the risk of hypoxaemia after laparoscopic gastric bypass in morbidly obese patients: a randomized controlled study. Br J Anaesth 2014; 113:501-507.
29. Wang L, Pryor AD, Altieri MS, et al. Perioperative rates of deep vein thrombosis and pulmonary embolism in normal weight vs obese and morbidly obese surgical patients in the era post venous thromboembolism prophylaxis guidelines. Am J Surg 2015; 210:859-863.
30. Vandiver JW, Ritz LI, Lalama JT. Chemical prophylaxis to prevent venous thromboembolism in morbid obesity: literature review and dosing recommendations. J Thromb Thrombolysis 2015. doi:10.1007/s11239-015-1231-5.
31. Caprini JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon 2005; 51:70-78.
32. Werner BC, Burrus MT, Looney AM, et al. Obesity is associated with increased complications after operative management of end-stage ankle arthritis. Foot Ankle Int 2015; 36:863-870.
33. Werner BC, Griffin JW, Yang S, et al. Obesity is associated with increased postoperative complications after operative management of proximal humerus fractures. J Shoulder Elbow Surg 2015; 24:593-600.
34. Werner BC, Burrus MT, Browne JA, Brockmeier SF. Superobesity (body mass index 50 kg/m(2)) and complications after total shoulder arthroplasty: an incremental effect of increasing body mass index. J Shoulder Elbow Surg 2015. doi:10.1016/j.jse.2015.05.046.
35. Gould MK, Garcia DA, Wren SM, et al. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141:e227S-e277S.
36. Chen SY, Stem M, Schweitzer MA, et al. Assessment of postdischarge complications after bariatric surgery: A National Surgical Quality Improvement Program analysis. Surgery 2015; 158:777-786.
37. Garcia DA, Baglin TP, Weitz JI, Samama MM; American College of Chest Physicians. Parenteral anticoagulants: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141:e24S-e43S.
38. Hede P, Sörensson MA , Polleryd P, et al. Influence of BMI on short-term surgical outcome after colorectal cancer surgery: a study based on the Swedish national quality registry. Int J Colorectal Dis 2015; 30:1201-1207.
39. Saiganesh H, Stein DE, Poggio JL. Body mass index predicts operative time in elective colorectal procedures. J Surg Res 2015; 197:45-49.
40. Tjeertes EEKM, Hoeks SSE, Beks SSBJC, et al. Obesity: a risk factor for postoperative complications in general surgery? BMC Anesthesiol 2015; 15:112.
41. Benedetto U, Danese C, Codispoti M. Obesity paradox in coronary artery bypass grafting: myth or reality? J Thorac Cardiovasc Surg 2014; 147:1517-1523.
42. Johnson AP, Parlow JL, Whitehead M, et al. Body mass index, outcomes, and mortality following cardiac surgery in Ontario, Canada. J Am Heart Assoc 2015; 4: doi: 10.1161/JAHA.115.002140.
43. Valentijn TM, Galal W, Hoeks SE, et al. Impact of obesity on postoperative and long-term outcomes in a general surgery population: a retrospective cohort study. World J Surg 2013; 37:2561-2568.
44. Valentijn TM, Galal W, Tjeertes EKM, et al. The obesity paradox in the surgical population. Surgeon 2013; 11:169-176.
45. Heymsfield SB, Cefalu WT. Does body mass index adequately convey a patient's mortality risk? JAMA 2013; 309:87-88.
46. Kramer CK, Zinman B, Retnakaran R. Are metabolically healthy overweight and obesity benign conditions?: A systematic review and meta-analysis. Ann Intern Med 2013; 159:758-769.
47. Cho H, Yoshikawa T, Oba MS, et al. Matched pair analysis to examine the effects of a planned preoperative exercise program in early gastric cancer patients with metabolic syndrome to reduce operative risk: the Adjuvant Exercise for General Elective Surgery (AEGES) study group. Ann Surg Oncol 2014; 21:2044-2050.