Retrospective evaluation of anesthesia experience of patients who underwent sleeve gastrectomy
Retrospective evaluation of anesthesia experience of patients who underwent sleeve gastrectomy
In this study, we aimed to present our anesthesia experience in patients who underwent laparoscopic sleeve gastrectomy in our hospital and review the literature. 116 patients with ASA (American Society of Anesthesiology) risk classification II-III who underwent laparoscopic sleeve gastrectomy were evaluated retrospectively. The patients were divided into groups according to gender and the anesthetic agent used, and the lengths of stay in the recovery unit, intensive care unit and hospital were compared. The age of the patients ranged from 19 to 62, and 61% of them were women. We did not find a statistically significant difference between the total length of hospitalization, intensive care unit stay and recovery time of the gender groups (p>0.05). We found a statistically significant difference in recovery times between the Thiopental and Propofol groups (p
___
- 1. Cullen A, Ferguson A. Perioperative management of the severely obese patient: a selective pathophysiological. Can J Anaesth. 2012;59:974-96.
- 2. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res. 1998;6 Suppl 2:51-209.
- 3. Marceau P, Biron S, Bourque RA, et al. Biliopancreatic diversion with a new type of gastrectomy. Obes Surg. 1993;3:29-35.
- 4. Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97:595-600.
- 5. Yavuz D. [Obesity]. Turkish Clinics J Endocrin- Special Topics. 2009;2:30-5.
- 6. Branca F, Nikogosian H, Lobstein T. The challenge of obesity in the WHO european region and the strategies for response. Copenhagen, Denmark, WHO, 2007;9-22.
- 7. Erel C. Uğurlu M. Aydınlı F, et al. Republic of Turkey Ministry of Health, Let's Eat Healthy, Let's Protect Our Hearts Project Research Report. Gurler Printing House. 2004;77.
- 8. Lotia S, Bellamy MC. Anaesthesia and morbid obesity. Critical Care Pain. 2008;8:151-56.
- 9. Yorgancı K, Tırnaksız MB. Surgical treatment of morbid obesity. Hacettepe Journal of Medicine. 2007;38:218-22.
- 10. Ariyasu H, Takaya K, Tagami T, et al. Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans.J Clin Endocrinol Metab.2001;86:4753-8.
- 11. Sarandan M, Guragata-Balasa C, Papurica M, et al. Anesthesia in laparacopik bariatric surgery (gastric sleeve): preliminary experience. Timisoara Medical Journal. 2011;61:26-31.
- 12. Ogunnakie BO, Whitten CW. Obesity and Anesthesia. In Clinical Anesthesia. 6th edition (Eds PG Barash, BF Cullen, RK Stoelting). Lippincott Williams & Wilkins, Baltimore, 2012;755-68.
- 13. Sheff SR, May MC, Carlisle SE, et al. Predictors of a difficult intubation in the bariatric patient: does preoperative body mass index matter? Surg Obes Relat Dis. 2013;9:344-9.
- 14. Dohrn N, Somme T, Bisgaard J, et al. Difficult tracheal intubation in obese gastric bypass patients. Obes Surg. 2016;26:2640-7.
- 15. Wadhwa A, Singh PM, Sinha AC. Airway management in patients with morbid obesity. Int Anesthesiol Clin. 2013;51:26-40.
- 16. Sinha AC. Some anesthetic aspects of morbid obesity. Curr Opin Anaesthesiol. 2009;22:442–6.
- 17. American Academy of Sleep Medicine. International Classification of Sleep Disorders, 3rd ed. Darien, IL, 2014;63-70.
- 18. Ögünc G. Laparoscopic bariatric surgery. Turkish Clinics J Surg Med Sci. 2007;3:1-12.
- 19. Adams JP, Murphy PG. Obesity in anaesthesia and intensive care. Br J Anaesth. 2000;85:91-108.
- 20. Huschak G, Busch T, Kaisers UX. Obesity in anesthesia and intensive care. Best Pract Res Clin Endocrinol Metab. 2013;27:247-60.
- 21. Oberg B, Poulsen TD. Obesity: an anaesthetic challenge. Acta Anaesthesiol Scand. 1996;40:191-200.
- 22. Biring MS, Lewis MI, Liu JT, et al. Pulmonary physiologic changes of morbid obesity. Am J Med Sci. 1999;318:293-7.
- 23. Berthoud MC, Peacock JE, Reilly CS. Effectiveness of preoxygenation in morbidly obese patients. Br J Anaesth. 1991;67:464-6.
- 24. Auler JO Jr, Miyoshi E, Fernandes CR, et al. The effects of abdominal opening on respiratory mechanics during general anesthesia in normal and morbidly obese patients: a comparative study. Anesth Analg. 2002;94:741-8.
- 25. Saurland S. Anqrisani L, Belachew M, et al. Obesity Surgery: Evidencebased Guidelines of The Europe¬an Association for Endoscopic Surgery. Surg Endosc. 2005;19:200-21.
- 26. Horvei LD, Braekkan SK, Mathiesen EB, et al. Obesity measures and risk of venous thromboembolism and myocardial infarction. Eur J Epidemiol. 2014;29:821-30.
- 27. Domi R, Laho H. Anesthetic challenges in the obese patient. J Anesth. 2012;26:758-65.
- 28. Lemmens HJ. Perioperative pharmacology in morbid obesity. Curr Opin Anaesthesiol. 2010;23:485-91.
- 29. Siampalioti A, Karavias D, Zotou A, et al. Anesthesia management for the super obese: is sevoflurane superior to propofol as a sole anesthetic agent? A double-blind randomized controlled trial. Eur Rev Med Pharmacol Sci. 2015;19:2493-500.
- 30. Sjöström LV. Morbidity of severely obese subjects. Am J Clin Nutr. 1992;55:508-15.
- 31. Jung D, Mayersohn M, Perrier D, et al. Thiopental dis¬position in lean and obese undergoing surgery. Anes¬thesiology. 1982;56:269-74.
- 32. Servin F, Farinotti R, Haberer JP, et al. Propo¬fol infusion for maintenance of anesthesia in morbidly obese patients receiving nitrous oxide. A clinical and pharmacokinetic study. Anesthesiology. 1993;78:657-65.
- 33. Schumann R, Jones SB, Cooper B, et al. Update on best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery, 2004–2007. Obesity. 2009;17:889-94.
- 34. Pelosi P, Gregoretti C. Perioperative management of obese patients. Best Pract Res Clin Anaesthesiol. 2010;24:2112-25.
- 35. Cadi P, Guenoun T, Journois D, et al. Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation. Br J Anaesth. 2008;100:709-16.
- 36. Almarakbi WA, Fawzi HM, Alhashemi JA. Effects of four intraoperative ventilatory strategies on respiratory compliance and gas exchange during laparoscopic gastric banding in obese patients. Br J Anaesth. 2009;102:862-8.
- 37. Valenza F, Vagginelli F, Tiby A, et al. Effects of the beach chair position, positive end-expiratory pressure, and pneumoperitoneum on respiratory function in morbidly obese patients during anesthesia and paralysis. Anesthesiology. 2007;107:725-32.
- 38. Solazzi L, Perilli V, Modesti C, et al. Volatile anesthe¬sia in bariatric surgery. Obes Surg. 2001;11:623-6.
- 39. Neligan PJ, Malhotra G, Fraser M, et al. Noninvasive ventilation immediately after extubation improves lung function in morbidly obese patients with obstructive sleep apnea undergoing laparoscopic bariatric surgery. Anesth Analg. 2010;110:1360-5.
- 40. Govindarajan R, Ghosh B, Sathyamoorty MK, et al. Efficacy of ketorolac in lieu of narcotics in the opera¬tive management of laparoscopic surgery for morbid obesity. Surg Obes Relat Dis. 2005;1:530-5.