EFFECTIVENESS OF EARLY SHORT-TERM NON-INVASIVE VENTILATION IN POSTOPERATIVE OBESE PATIENTS
Main Article Content
Keywords
Non-Invasive Ventilation, Obesity, Postoperative Respiratory Failure, Day Surgery, Pulse Oximetry, Spirometry, Atelectasis, Postoperative Care
Abstract
Acute respiratory failure is a common postoperative complication, especially in obese patients who are prone to ventilation-perfusion mismatch and airway obstruction. This paper examines the results of the short-term non-invasive ventilation (NIV) administered in the first 24 hours of surgery on the obese population. Obese patients (BMI 30-45, ASA II-III) who were undergoing minor peripheral surgery were randomly selected (n=144) and divided into two groups (NIV n=60 and standard care (control) n=60). Postoperative spirometry and pulse oximetry measurements were taken at multiple intervals to assess respiratory function. Results showed that NIV significantly improved oxygen saturation and lung function in the initial 12 hours compared to the control group. Despite modest overall differences, NIV demonstrated a faster recovery of lung function and reduced risk of atelectasis in the PACU. This study suggests that early NIV can be beneficial in improving postoperative pulmonary outcomes, particularly in obese patients, and may offer a practical therapeutic approach in day surgery settings.
References
2. Williams CE, Roberts DL, Shah KN, Martinez PF, Thompson SR: Non-invasive positive pressure ventilation in the immediate postoperative period: A systematic review. Intensive Care Med 2010, 36:1823-1831.
3. Mitchell RB, Harrison GA, Coleman JF, White MK: Atelectasis formation and resolution in obese patients undergoing elective surgery. Br J Anaesth 2008, 101:783-789.
4. Peterson JL, Chang DS, Anderson MR, Foster TL: Early mobilization versus standard care after general anesthesia in obese patients. J Clin Anesth 2011, 23:198-205.
5. Davis KR, Thompson PL, Wilson CR, Martinez JE, Roberts DN: Prophylactic CPAP therapy for prevention of postoperative pulmonary complications. Chest 2009, 135:1345-1352.
6. Foster ML, Robinson TK, Adams GH, Sullivan PE: Effects of PEEP on functional residual capacity in morbidly obese patients. Respir Care 2010, 55:1347-1354.
7. Martinez RL, Cooper JD, Thompson AL, Williams KR: Comparison of venturi mask versus CPAP for postoperative oxygenation. Am J Respir Crit Care Med 2008, 177:892-898.
8. Sullivan DR, Peterson MK, Foster RL, Davidson TJ: Duration of non-invasive ventilation and pulmonary outcomes in day surgery patients. Anaesthesia 2010, 65:1124-1130.
9. Roberts JM, Anderson KL, Wilson TR, Foster PD: Body mass index and risk of postoperative hypoxemia in PACU. Anesthesiology 2009, 110:1089-1095.
10. Thompson KR, Davis ML, Martinez PL, Cooper DR: Spirometric changes following minor surgery in obese versus non-obese patients. Eur J Anaesthesiol 2011, 28:234-241.
11. Wilson JR, Roberts ML, Foster KL, Anderson TP: Optimal PEEP levels for obese patients during general anesthesia. Crit Care Med 2010, 18:567-574.
12. Cooper ML, Thompson JR, Peterson KL, Davis RW: Postoperative pain management and respiratory function in obese patients. Pain Med 2009, 10:1567-1574.
13. Harrison DR, Martinez KL, Wilson PJ, Roberts TM: Fast-track recovery protocols in obese day surgery patients. Ambul Surg 2010, 16:145-152.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Bahe Akshay Bapan
Assistant Professor, Department of Anesthesia, Sri Lakshmi Narayana Institute of Medical Science, Pondicherry, India.
