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Vol. 44. Issue 8.
Pages 449-450 (January 2008)
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Vol. 44. Issue 8.
Pages 449-450 (January 2008)
Case Reports
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Acute Respiratory Failure Immediately Following Surgery for Morbid Obesity
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Félix del Campo Matías
Corresponding author
fsas@telefonica.net

Correspondence: Dr. F. del Campo Matías Servicio de Neumología, Hospital Universitario Río Hortega Cardenal Torquemada, s/n 47010 Valladolid, Spain
, Julio de Frutos Arribas, Ana Sánchez Fernández
Servicio de Neumología, Hospital Universitario del Río Hortega, Valladolid, Spain
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Patients with sleep apnea-hypopnea syndrome have a higher probability of presenting more postoperative complications, yet early treatment with continuous positive airway pressure can prevent them. We report the case of a patient who underwent surgery for morbid obesity and who developed acute respiratory failure in the immediate postoperative period, requiring readmission to the recovery unit. The patient's condition progressed favorably following treatment with bilevel positive airway pressure. It was subsequently confirmed that the patient suffered from sleep apnea-hypopnea syndrome.

Key words:
Sleep apnea syndrome
Anesthesia
Surgery

Los pacientes con síndrome de apneas-hipopneas durante el sueño tienen una mayor probabilidad de presentar más complicaciones postoperatorias. La utilización precoz de tratamiento con presión positiva continua de la vía aérea puede evitar su aparición. Se presenta el caso de un paciente intervenido de obesidad mórbida que desarrolló, en el postoperatorio inmediato, un cuadro de insuficiencia respiratoria aguda, que precisó el reingreso en la unidad de reanimación y evolucionó favorablemente tras la instauración de tratamiento con presión positiva con 2 niveles de presión. Posteriormente se confirmó que presentaba síndrome de apneas-hipopneas durante el sueño.

Palabras clave:
Síndrome de apnea del sueño
Anestesia
Cirugía
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References
[1]
CHK Lan, MW Rose.
Perioperative management of obstructive sleep apnea.
Sleep Med Clin, 1 (2006), pp. 541-548
[2]
Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea.
Anesthesiology, 104 (2006), pp. 1081-1093
[3]
J Durán-Cantolla, N González-Mangado.
Documento de consenso nacional sobre el síndrome de apneas-hipopneas durante el sueño.
Arch Bronconeumol, 41 (2005), pp. 102-106
[4]
T O'Keeffe, EJ Patterson.
Evidence supporting routine polysomnography before bariatric surgery.
Obes Surg, 14 (2004), pp. 23-26
[5]
PT Hallowell, TA Stellato, M Schuster, K Graf, A Robinson, C Crouse, et al.
Potentially life threatening sleep apnea is unrecognized without aggressive evaluation.
Am J Surg, 193 (2007), pp. 364-367
[6]
RM Gupta, J Parvizi, AD Hanssen, PC Gay.
Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study.
Mayo Clin Proc, 76 (2001), pp. 897-905
[7]
H Kehlet, J Rosenberg.
Late postoperative hypoxemia and organ dysfunction.
Eur J Anaesthesiol, 12 (1995), pp. 31-34
[8]
GH Ballantyne, J Svahn, RF Capella, JF Capella, HJ Schmidt, A Wasielewski, et al.
Predictors of prolonged hospital stay following open and laparoscopic gastric bypass for morbid obesity: body mass index, length of surgery, sleep apnea, asthma, and the metabolic syndrome.
Obes Surg, 14 (2004), pp. 1042-1050
[9]
KL Haines, LG Nelson, R González, T Torrella, T Martin, A Kandil, et al.
Objective evidence that bariatric surgery improves obesity related obstructive sleep apnea.
Surgery, 141 (2007), pp. 354-358
[10]
C Sturani, V Galavotti, C Scarduelli, D Sella, A Rosa, R Cauzzi, et al.
Acute respiratory failure, due to severe obstructive sleep apnoea syndrome, managed with nasal positive pressure ventilation.
Monaldi Arch Chest Dis, 49 (1994), pp. 558-560
[11]
A Cuvelier, C Rabec.
La ventilation mécanique au cours de l'insuffissance respiratoire hypercampnique du sujet obèse. Spéficités de la ventilation non invasive.
Réanimation, 16 (2007), pp. 75-81
[12]
S Huerta, S DeShields, R Shpiner, Z Li, C Liu, M Sawicki, et al.
Safety and efficacy of postoperative continuous positive airway pressure to prevent pulmonary complications after Roux-en-Y gastric bypass.
J Gastrointest Surg, 6 (2002), pp. 354-358
[13]
MT Rennotte, P Baele, G Aubert, DO Rodenstein.
Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery.
Chest, 107 (1995), pp. 367-374
[14]
Y Mehta, S Manikappa, R Juneja, N Trehan.
Obstructive sleep apnea syndrome: anesthetic implications in the cardiac surgical patient.
J Cardiothorac Vasc Anesth, 14 (2000), pp. 449-453
Copyright © 2008. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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