Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients
Introduction. Early detection of patients with obstructive sleep apnea syndrome (OSAS) using preoperative screening is necessary to reduce risks in the perioperative period.The objective was to assess the effect of OSAS on the perioperative management of patients.Methods and materials. 54 patients w...
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| Format: | Article |
| Language: | Russian |
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Academician I.P. Pavlov First St. Petersburg State Medical University
2022-04-01
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| Series: | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
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| Online Access: | https://www.sci-notes.ru/jour/article/view/830 |
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| author | R. D. Skvortsova V. А. Pavlova K. A. Anisimova K. A. Popova A. A. Obukhova A. A. Kazachenko Yu. D. Rabik S. G. Balandov D. I. Vasilevsky A. N. Kulikov |
| author_facet | R. D. Skvortsova V. А. Pavlova K. A. Anisimova K. A. Popova A. A. Obukhova A. A. Kazachenko Yu. D. Rabik S. G. Balandov D. I. Vasilevsky A. N. Kulikov |
| author_sort | R. D. Skvortsova |
| collection | DOAJ |
| description | Introduction. Early detection of patients with obstructive sleep apnea syndrome (OSAS) using preoperative screening is necessary to reduce risks in the perioperative period.The objective was to assess the effect of OSAS on the perioperative management of patients.Methods and materials. 54 patients with a BMI of more than 30 kg/m2 were examined, for whom a bariatric operation was performed as planned. Before the operation, all patients underwent respiratory polygraph with the calculation of the apnea/ hypopnea index (AHI), mean saturation (SpO2 m) during sleep and spirometry.Results. Patients were divided into 2 groups according to AHI: gr. 1 (n=33) with AHI<15/hour, OSAS, gr. 2 (n=21) with a AHI ≥15/hour. In gr. 2 VC and FVC should be significantly lower than in gr. 1 (p<0.01). A significant decrease in SpO2 m was noted (p<0.001). On the first day after the operation, there was an increase in pCO2 of arterial blood in gr. 2, in comparison with gr. 1 (p<0.05).Conclusions. OSAS can be considered as an independent adverse risk factor for potential perioperative complications. Early detection of OSAS will reduce the risks of postoperative complications. |
| format | Article |
| id | doaj-art-a038c8ec26d04931865feb00784d8d08 |
| institution | DOAJ |
| issn | 1607-4181 2541-8807 |
| language | Russian |
| publishDate | 2022-04-01 |
| publisher | Academician I.P. Pavlov First St. Petersburg State Medical University |
| record_format | Article |
| series | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
| spelling | doaj-art-a038c8ec26d04931865feb00784d8d082025-08-20T03:00:36ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812541-88072022-04-01283222910.24884/1607-4181-2021-28-3-22-29566Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patientsR. D. Skvortsova0V. А. Pavlova1K. A. Anisimova2K. A. Popova3A. A. Obukhova4A. A. Kazachenko5Yu. D. Rabik6S. G. Balandov7D. I. Vasilevsky8A. N. Kulikov9Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityMilitary Medical AcademyPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityIntroduction. Early detection of patients with obstructive sleep apnea syndrome (OSAS) using preoperative screening is necessary to reduce risks in the perioperative period.The objective was to assess the effect of OSAS on the perioperative management of patients.Methods and materials. 54 patients with a BMI of more than 30 kg/m2 were examined, for whom a bariatric operation was performed as planned. Before the operation, all patients underwent respiratory polygraph with the calculation of the apnea/ hypopnea index (AHI), mean saturation (SpO2 m) during sleep and spirometry.Results. Patients were divided into 2 groups according to AHI: gr. 1 (n=33) with AHI<15/hour, OSAS, gr. 2 (n=21) with a AHI ≥15/hour. In gr. 2 VC and FVC should be significantly lower than in gr. 1 (p<0.01). A significant decrease in SpO2 m was noted (p<0.001). On the first day after the operation, there was an increase in pCO2 of arterial blood in gr. 2, in comparison with gr. 1 (p<0.05).Conclusions. OSAS can be considered as an independent adverse risk factor for potential perioperative complications. Early detection of OSAS will reduce the risks of postoperative complications.https://www.sci-notes.ru/jour/article/view/830obstructive sleep apneabariatricspreoperative preparationobesityperioperative risks |
| spellingShingle | R. D. Skvortsova V. А. Pavlova K. A. Anisimova K. A. Popova A. A. Obukhova A. A. Kazachenko Yu. D. Rabik S. G. Balandov D. I. Vasilevsky A. N. Kulikov Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова obstructive sleep apnea bariatrics preoperative preparation obesity perioperative risks |
| title | Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients |
| title_full | Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients |
| title_fullStr | Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients |
| title_full_unstemmed | Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients |
| title_short | Obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients |
| title_sort | obstructive apnea syndrome as a risk factor for the development of postoperative complications in obese patients |
| topic | obstructive sleep apnea bariatrics preoperative preparation obesity perioperative risks |
| url | https://www.sci-notes.ru/jour/article/view/830 |
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