Key result
Morbid obesity in patients undergoing abdominal surgery under general anaesthesia is associated with a 29.3% risk of developing atelectasis and pneumonia (OR 2.82; 95% CI 1.66-4.78; P=0.0001).
Why the study?
What is the risk to develop postoperative pulmonary complications in a morbidly obese patient about to undergo abdominal surgery under general anaesthesia?
Population
Morbidly obese patients undergoing abdominal surgery under general anaesthesia
Design
Review
Authors
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Case report in extreme obesity leaves open optimal anesthesia strategies; larger studies needed before changing practice.
Systematic Review
What is the risk to develop postoperative pulmonary complications in a morbidly obese patient about to undergo abdominal surgery under general anaesthesia?
Odds Ratio: 2.82 (95% CI 1.66–4.78)
p-value: p=0.0001
Morbidly obese patients undergoing abdominal surgery under general anesthesia have a significantly elevated risk of developing postoperative pulmonary complications, which should inform anesthetic strategy.
Flier et al. (2006) conducted a systematic review in Morbid obesity undergoing abdominal surgery. Morbid obesity was evaluated on Atelectasis and pneumonia (OR 2.82, 95% CI 1.66-4.78, p=0.0001). Morbid obesity in patients undergoing abdominal surgery under general anaesthesia is associated with a 29.3% risk of developing atelectasis and pneumonia (OR 2.82; 95% CI 1.66-4.78; P=0.0001).
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