Mixed
Continuous postoperative pulse oximetry (CPOX) monitoring without preoperative obstructive sleep apnea (OSA) screening is a safe and effective perioperative strategy for bariatric patients.
For bariatric patients, skipping preoperative sleep testing and relying on continuous pulse oximetry monitoring after surgery is a safe alternative. This approach avoids the cost and time of preoperative screening while maintaining low complication rates, provided patients receive supplemental oxygen and monitoring during the first postoperative night.
These data suggest that CPOX monitoring without preoperative OSA-screening is a safe and effective strategy in perioperative care of bariatric patients.
Why this rating
Large retrospective cohort study (n=5682) with clear outcome measures, though not a randomized controlled trial.
Source
Perioperative management of pulmonary and cardiovascular comorbidities in patients undergoing bariatric surgery
Sophie Laura van Veldhuisen · 2022
DOI 10.18174/579240
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