• BMC anesthesiology · Aug 2024

    Meta Analysis

    Effect of positive airway pressure on obese patients undergoing surgery: a systematic review and meta-analysis.

    • Xinyi Wang, Xizhi Chen, and Ju Gao.
    • Yangzhou University Medical College, Yangzhou, 225000, China.
    • BMC Anesthesiol. 2024 Aug 9; 24 (1): 281281.

    AbstractThis systematic review and meta-analysis (SRMA) evaluates the efficacy and safety of Positive Airway Pressure (PAP) therapy in perioperative care for obese surgical patients. We reviewed 24 studies, encompassing data up to March 23, 2023, analyzing the impacts of Continuous Positive Airway Pressure (CPAP) and Bilevel Positive Airway Pressure (BIPAP) on postoperative adverse outcomes, oxygenation, and pulmonary function. Our findings underscore the significant potential of PAP therapy in managing obese patients during the perioperative period, particularly those at substantial risk for postoperative respiratory complications. PAP therapy not only enhances oxygenation levels and lung function but also substantially reduces the incidence of atelectasis and shortens hospital stays, thereby affirming its vital role in improving perioperative outcomes for this patient population.© 2024. The Author(s).

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