Intensive care unit stay not required for patients with obstructive sleep apnea after laparoscopic Roux-en-Y gastric bypass

Grover, Brandon T.; Priem, Danielle M.; Mathiason, Michelle A.; Kallies, Kara J.; Thompson, Gregory P.; Kothari, Shanu N.

doi:10.1016/j.soard.2009.12.006

Cited by 39 publications

(16 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No observational evidence directly addressing the question was found. Meta-analysis of observational studies suggested that patients with obstructive sleep apnea or related disorders were more likely to sustain atrial fibrillation (OR 1.51, 95% CI 1.36 to 1.69) or hypoxemia (WMD − 3.8%, 95% CI − 5.4% to − 2.2%) [45][46][47][48][49][50][51][52][53][54][55][56][57][58][59]. The latter outcome might not be clinically important, whereas the summary certainty in the evidence was very low due to risk of bias (non-controlled confounders in cohort studies), imprecision, statistical and conceptual heterogeneity (differences in definition of sleep apnea and method of diagnosis) (Supplementary Table 6).…”

Section: Justificationmentioning

confidence: 99%

Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

et al. 2020

View full text Add to dashboard Cite

Background Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience. EAES has sponsored an update of previous guidelines on bariatric surgery. Methods A multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. Development and reporting conformed to GRADE guidelines and AGREE II standards. Results Systematic review of databases, record selection, data extraction and synthesis, evidence appraisal and evidence-todecision frameworks were developed for 42 key questions in the domains Indication; Preoperative work-up; Perioperative management; Non-bypass, bypass and one-anastomosis procedures; Revisional surgery; Postoperative care; and Investigational procedures. A total of 36 recommendations and position statements were formed through a modified Delphi procedure. and Other Interventional Techniques Disclaimer This clinical practice guideline has been developed under the auspice of the European Association for Endoscopic Surgery (EAES). It is intended to be used primarily by health professionals (e.g. surgeons, anesthetists, physicians) and to assist in making informed clinical decisions on diagnostic measures and therapeutic management. It is also intended to inform individual practice of allied health professionals (e.g. surgical nurses, dietitians, physical rehabilitation therapists, psychologists); to inform strategic planning and resource management by healthcare authorities (e.g. regional and national authorities, healthcare institutions, hospital administration authorities); and to inform patients wishing to obtain an overview of the condition of interest and its management. The use of recommendations contained herein must be informed by supporting evidence accompanying each recommendation and by research evidence that might not have been published by the time of writing the present document. Users must thus base their actions informed by newly published evidence at any given point Electronic supplementary material The online version of this article (

show abstract

Section: Justificationmentioning

confidence: 99%

Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Vasquez and Hoddinott hypothesized that if patients are not used to breathing with their CPAP device, air might be forced inside the gastrointestinal tract causing bowel distension and pressure on the newly formed, vulnerable anastomosis [29]. However, other studies state that the risk of anastomotic leakage is not increased in patients who use a CPAP mask [16,30]. With regard to sleeve gastrectomy and positive airway pressure, no literature could be identified.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence justifying postoperative ICU admission is scarce. Several studies show that routine ICU admission is not required, and continuous monitoring by means of pulse oximetry or capnography alone may be sufficient [15,16]. The American Society of Anesthesiologists has put forth recommendations for the perioperative care of patients with OSA.…”

Section: Introductionmentioning

confidence: 99%

Routine Postoperative Monitoring after Bariatric Surgery in Morbidly Obese Patients with Severe Obstructive Sleep Apnea: ICU Admission is not Necessary

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The majority of patients with OSA can be safely monitored in this fashion. 76 Select higher risk patients, including males, BMI > 60, and severe OSA, may require monitoring in an ICU setting ( Figure 2). In these high-risk patients, CPAP should be strongly encouraged preoperatively to allow for accommodation of the therapy and placed relatively early in the postoperative course.…”

Section: Recognize Clinical Patterns In the Post-bariatric Patientsmentioning

confidence: 99%

Critical Care Management of Bariatric Surgery Complications

Chand

Prathanvanich

2016

J Intensive Care Med

View full text Add to dashboard Cite

Obesity remains a major medical disease that often requires surgical intervention in morbidly obese patients. Surgical procedures have evolved and are performed routinely in most major medical centers. Outcomes are often dependent on patient characteristics, type of procedure, and preoperative planning. Risk stratification often depends on screening and optimizing known comorbidities often encountered in this patient population. A thorough understanding of the physiologic changes seen in obese patient and the commonly performed operations will allow the physician to perform optimal treatment strategies.

show abstract

Intensive care unit stay not required for patients with obstructive sleep apnea after laparoscopic Roux-en-Y gastric bypass

Cited by 39 publications

References 24 publications

Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

Routine Postoperative Monitoring after Bariatric Surgery in Morbidly Obese Patients with Severe Obstructive Sleep Apnea: ICU Admission is not Necessary

Critical Care Management of Bariatric Surgery Complications

Contact Info

Product

Resources

About