Perioperative respiratory management in obese patients:Chongqing expert consensus(2025 edition)

VernacularTitle:肥胖患者围手术期呼吸管理重庆专家共识(2025版)
Author: Jin GAO ¹ ; Yi XU
Author Information

1. 重庆医科大学附属第一医院,重庆 400016
Keywords: obesity; expert consensus; perioperative period; respiratory management
From: Chongqing Medicine 2025;54(3):561-566,572
CountryChina
Language:Chinese
Abstract: Obesity leads to a series of pathological changes in the physiological structure and function of the respiratory system,posing more demanding requirements for perioperative respiratory management.Severely obese patients often have preexisting respiratory comorbidities such as obstructive sleep apnea(OSA)and hypoventilation;they are at higher risk of postoperative pulmonary complications(PPCs).Appro-priate perioperative respiratory management effectively reduces PPCs and promotes postoperative recovery in obese patients.This consensus puts forward expert recommendations on perioperative respiratory manage-ment strategies for obese patients,covering preoperative respiratory function assessment and preparation,in-traoperative ventilation management,and postoperative respiratory support,aiming to provide reference and guidance for clinical practice.