Postoperative atelectasis is very common in laparoscopic surgeries, In obese, atelectasis is much more. Oxygen saturations often stay at 80 % with 8 litres oxygen for 2 hrs. Causes - Diaphragm shifted up, due to Obesity CO2 Head down position in some lap surgeries. These simple things make lot of difference in good recovery from Inevitable Postoperative Atelectasis in bariatric laparoscopic surgery in obese patients: Preoperative Incentive Spirometry for 1 week before surgery, Strict liquid diet (only water ) for 3-5 days Steroids, (for Surfactant) before and after surgery.
Diuretic before surgery to prevent water logging in Lungs . lmproving cardiac function by simple on bed exercises ( like lift both lower limbs to 30 degrees and holding for more than 15 sec.) etc Using drugs like Digoxin, Levi carnitine before surgery. Providing good muscle relaxation during surgery ( To avoid…
