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OAL Anaesthesia for the Overweight and Obese Patient$
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OAL Anaesthesia for the Overweight and Obese Patient

Mark Bellamy, Michel Struys

Publisher:
Oxford University Press
Print Publication Date:
Jul 2007
Print ISBN-13:
9780199233953
Published to Oxford Medicine:
May 2011
DOI:
10.1093/med/9780199233953.001.0001

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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Disorders of sleep and respiratory control in obesity: perioperative assessment and management

Chapter:
Disorders of sleep and respiratory control in obesity: perioperative assessment and management
Author(s):

Mark Bellamy,

Michel Struys

DOI:
10.1093/med/9780199233953.003.0005

• Obese patients suffer disorders of respiratory control.

• Both obstructive sleep apnoea and the obesity hypoventilation syndrome are under-diagnosed.

• Both syndromes have important implications for the perioperative course.

• The obesity hypoventilation syndrome is characterised by reduced central respiratory drive and an elevated carbon dioxide tension while awake.

• Obstructive sleep apnoea is characterised by nocturnal airway obstruction and desaturation.

• Both syndromes are associated with cardiovascular complications and right heart failure.

• Weight loss is an effective therapeutic strategy for both syndromes.

• CPAP is effective in mitigating the effects of obstructive sleep apnoea.

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