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Indian Journal of Anesthesia and Analgesia

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Perioperative Anaesthesic Concerns for Bariatric Surgeries

Luthra Neeru, Associate Professor, Department of Anaesthesia, Dayanand Medical College and Hospital, Ludhiana, Punjab 141001, India. , Garg Kamakshi1 , Luthra Neeru2 , Kaur Gurpreeti3 , Nain Prabhdeep Singh4

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Indian Journal of Anesthesia and Analgesia 5(5):p 755-759, May 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5518.10

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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.




 

 

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5518.10

Keywords

Bariatric Surgery; Obesity; BMI; Perioperative Care.

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