Respiratory issues and ventilatory strategies for morbidly obese patients

  • J. Sprung
Conference paper


In the United States, the increasing incidence of morbid obesity (MO) is a national health care crisis that has resulted in a corresponding increase in the number of bariatric surgeries performed annually. MO and associated respiratory comorbid conditions, such as obstructive sleep apnoea or pulmonary hypertension, may create considerable challenges for the anaesthetic management of patients and involve possible complications. Sugerman [1, 2] showed that markers of respiratory insufficiency (e.g. low arterial oxygenation, carbon dioxide retention, frequent apnoeic episodes, reduced lung volume, and presence of polycythaemia) greatly improved after bariatric surgery and weight loss. Therefore, respiratory comorbid conditions should prompt an aggressive surgical approach for weight reduction.


Bariatric Surgery Continuous Positive Airway Pressure Morbid Obesity Tracheal Intubation Obstructive Sleep Apnoea 


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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • J. Sprung
    • 1
  1. 1.Mayo ClinicDivision of Multispecialty AnesthesiaRochesterUSA

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