CAJ | 학술논문

肥胖患者在手术人群中所占的比例逐年上升.肥胖不仅影响了患者的生理功能,也给麻醉和手术带来不少难题.现就此讨论肥胖患者围手术期的呼吸管理,包括术前的呼吸治疗、术中的机械通气策略及术后的呼吸支持等问题.对肥胖患者围术期呼吸生理改变的了解,详尽的、个体化的通气设置和术中术后完善的通气管理有助于减少肥胖患者呼吸系统并发症的发生.
비반환자재수술인군중소점적비례축년상승.비반불부영향료환자적생리공능,야급마취화수술대래불소난제.현취차토론비반환자위수술기적호흡관리,포괄술전적호흡치료、술중적궤계통기책략급술후적호흡지지등문제.대비반환자위술기호흡생리개변적료해,상진적、개체화적통기설치화술중술후완선적통기관리유조우감소비반환자호흡계통병발증적발생.
Obesity has become one of the most important public health problems confronting modern society. Several physiologic functions of patient have been influenced by obesity. In this article, we review the perioperative respiratory management of obese patients,including preoporat-ive respiratory therapy; strategies of intra-operative mechanical ventilation and postoperative respi-ratory support. Furthermore, we discuss some controversial problems about ventilation of obese patients. Knowledge of the pulmonary pathophysiology and appropriate, individualized ventilation management will help us to reduce perioperative complications of respiratory system of obese patients.