Routine Postoperative Monitoring After Bariatric Surgery in Morbidly Obese Patients with Severe Obstructive Sleep Apnea: ICU Admission is Not Necessary

In this study, the authors investigated the need for ICU admission after bariatric surgery. OSA has a known incidence of 70-80% in bariatric surgery patients. To prevent complications, many of these people are admitted to the ICU for observation. However, this could potentially increase overall cost of hospitalization and waste a scarce resource such as the ICU. Of the 794 patients in this study, 151 had severe sleep apnea and where admitted to the ICU. There were no deaths, re-intubations or other complications. The authors suggest, based on the findings in this study, that routine ICU use after laparoscopic bariatric surgery may be unnecessary.

http://www.ncbi.nlm.nih.gov/pubmed/26210193