Perioperative Anaesthesic Concerns for Bariatric Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 5
Abstract
As bariatric surgeries is being accepted as safe procedure in India, it demands anesthesiologists to spruce up their knowledge and expertise as they play a vital role in safe perioperative patient management. This would require a thorough understanding of the pathophysiologic changes, surgical procedures and anesthesia case management for morbidly obese patients. The anesthetic management may be complicated by various comorbidities associated with obesity. Intubation, maintenance of oxygenation, fluid and pain management may be particularly challenging. In our experience, with proper perioperative care and vigilant monitoring, the incidence of intraoperative and postoperative morbidities and mortalities can be reduced. This study describes the anaesthetic experience in 103 consecutive patients of either sex with average body mass index (BMI) of more than 46.5kg/m2 who underwent laparoscopic bariatric surgery in the form of gastric bypass, sleeve gastrectomy and mini-gastric bypass at our institution. Data analyzed included demographic profile, comparison of BMI and ASA classification and associated medical problems. There were no incidences of life threatening complications. We conclude that with proper perioperative care and monitoring the outcome of bariatric patients is excellent.
Authors and Affiliations
Garg Kamakshi
Keywords
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- EP ID EP537890
- DOI 10.21088/ijaa.2349.8471.5518.10
- Views 103
- Downloads 0
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