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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
DOI: 10.1016/S1579-2129(08)60078-6
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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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Copyright © 2008. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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