10. Recommendations from guidelines in obese patients with OSA

High-risk OSA patients should be managed by a dedicated specialized anesthesia team. Regional anesthetic technique or nonopioids analgesics should be used to reduce the need for systemic opioids. Meticulous monitoring is required when sedatives and opioids are used in suspected or OSA patients due to high risk of respiratory depression. Even HDU or ICU admission for monitoring could be considered if obesity is associated with other co-morbidities. OSA and its complications should be anticipated in obese patient. Postoperative use of supplemental oxygen is recommended as it reduces the incidence of hypoxemic episodes, in addition to CPAP or NIPPV, that could relieve the upper airway obstruction.
