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Original scientific paper

IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS

VLASTA KLARIĆ   ORCID icon orcid.org/0000-0002-0105-6108 ; Dubrava University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
ANDREJ ŠRIBAR ; Dubrava University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
MORENA MILIĆ ; Dubrava University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
VLASTA MERC ; Dubrava University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
IVAN ZAJC ; University of Zagreb, School of Dental Medicine and Dubrava University Hospital, Department of Oral Surgery, Zagreb, Croatia
JASMINKA PERŠEC   ORCID icon orcid.org/0000-0002-3777-8153 ; Dubrava University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, University of Zagreb, School of Dental Medicine, Zagreb, Croatia

Fulltext: english, pdf (504 KB) pages 249-254 downloads: 68* cite
APA 6th Edition
KLARIĆ, V., ŠRIBAR, A., MILIĆ, M., MERC, V., ZAJC, I. & PERŠEC, J. (2017). IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS. Acta medica Croatica, 71 (4), 249-254. Retrieved from https://hrcak.srce.hr/193701
MLA 8th Edition
KLARIĆ, VLASTA, et al. "IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS." Acta medica Croatica, vol. 71, no. 4, 2017, pp. 249-254. https://hrcak.srce.hr/193701. Accessed 21 Jul. 2019.
Chicago 17th Edition
KLARIĆ, VLASTA, ANDREJ ŠRIBAR, MORENA MILIĆ, VLASTA MERC, IVAN ZAJC and JASMINKA PERŠEC. "IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS." Acta medica Croatica 71, no. 4 (2017): 249-254. https://hrcak.srce.hr/193701
Harvard
KLARIĆ, V., et al. (2017). 'IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS', Acta medica Croatica, 71(4), pp. 249-254. Available at: https://hrcak.srce.hr/193701 (Accessed 21 July 2019)
Vancouver
KLARIĆ V, ŠRIBAR A, MILIĆ M, MERC V, ZAJC I, PERŠEC J. IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS. Acta medica Croatica [Internet]. 2017 [cited 2019 July 21];71(4):249-254. Available from: https://hrcak.srce.hr/193701
IEEE
V. KLARIĆ, A. ŠRIBAR, M. MILIĆ, V. MERC, I. ZAJC and J. PERŠEC, "IDENTIFICATION OF RESPIRATORY RISK PARAMETERS IN OBESE ORAL SURGICAL PATIENTS", Acta medica Croatica, vol.71, no. 4, pp. 249-254, 2017. [Online]. Available: https://hrcak.srce.hr/193701. [Accessed: 21 July 2019]

Abstracts
Obesity, defi ned as body mass index (BMI) between 30 and 39.9 kg/m2, and morbid obesity, with BMI of more than 40 kg/m2 is a multisystem, chronic, proinfl ammatory disorder with a worldwide increasing prevalence called “globesity”. There is a known signifi cant increase in perioperative complications in obese patients. Oral surgeries under general endotracheal anesthesia pose special challenge in obese patients. The aim of the study was to evaluate the risk of postoperative
pulmonary complications (PPC), preoperative dyspnea score and their correlation with body mass index (BMI) among obese patients scheduled for oral surgical procedures under general anesthesia. Following permission by the Ethics Committee and signed written informed consent, 75 obese patients (age 30-65 and ASA status II-III) were involved. The PPC risk was determined by ARISCAT score and dyspnea by modifi ed Borg score. The mean BMI was 35.6 (SD 5.6),
with no gender difference. Patients had the abdominal obesity type with the mean waist-to-hip (W/H) ratio greater than 1.1 (female 0.99±0.19 and male 1.11±0.18). The mean neck circumference was 54.2 (SD 6.9) cm, signifi cantly higher in males (p=0.003). There was signifi cant positive correlation of ARISCAT score (r=0.57; p=0.001) and preoperative degree of dyspnea (r=0.51; p=0.001) with BMI, and of neck circumference with W/H ratio (r=0.37; p=0.01). The results showed positive correlation between the PPC risk determined and preoperative dyspnea level (r=0.34; p=0.002). Identifi cation of respiratory risk parameters in obese patients and their interdependence proved to be of clinical interest. Preoperative assessment of PPC risk and dyspnea level at rest should be part of the standard preoperative protocol for oral surgical procedures, especially in one-day surgery.

Keywords
obesity; oral surgical procedures; postoperative pulmonary complications; general anesthesia; dyspnea

Hrčak ID: 193701

URI
https://hrcak.srce.hr/193701

[croatian]

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