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Updated: Sep 3, 2025
07:54
Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
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Patients with sleep-disordered breathing for bariatric surgery.
Matthew W Oh1, Joy L Chen1, Tiffany S Moon1
1Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, United States.
Saudi Journal of Anaesthesia
|July 28, 2022
Summary
Obesity and sleep-disordered breathing (SDB), particularly obstructive sleep apnea (OSA), are rising. Bariatric surgery effectively treats both, but OSA screening and perioperative management are crucial for surgical patients.
Area of Science:
- Medicine
- Surgery
- Pulmonology
Background:
- Rising global obesity rates correlate strongly with sleep-disordered breathing (SDB), especially obstructive sleep apnea (OSA).
- OSA is frequently undiagnosed in patients undergoing bariatric surgery.
- Bariatric surgery, particularly laparoscopic sleeve gastrectomy (LSG), is an effective treatment for obesity and OSA.
Purpose of the Study:
- To highlight the importance of screening bariatric surgery patients for OSA.
- To emphasize the need for perioperative management strategies for OSA in this population.
Main Methods:
- Review of current literature on obesity, OSA, and bariatric surgery.
- Analysis of perioperative risks associated with undiagnosed OSA.
Main Results:
- OSA is an independent risk factor for perioperative complications after bariatric surgery.
- Failure to identify and manage OSA contributes to adverse postoperative events.
- Preoperative OSA screening is recommended for all bariatric surgery candidates.
Conclusions:
- All patients undergoing bariatric surgery should be screened for OSA.
- Perioperative management including opioid-sparing analgesia and CPAP is vital.
- Understanding best practices for managing bariatric patients with SDB is critical due to rising prevalence.
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