Bariatric surgery

Laparoscopic gastric bypass

Authors

  • Susana Pretus Rubio Associate of Anesthesiology and Resuscitation. Getafe University Hospital. Madrid, Spain.
  • Almudena Baños Maestro Associate of Anesthesiology and Resuscitation. Getafe University Hospital. Madrid, Spain.
  • Irene Alonso Ramos Associate of Anesthesiology and Resuscitation. Getafe University Hospital. Madrid, Spain.

DOI:

https://doi.org/10.30445/rear.v16i2.1193

Keywords:

Obesity, respiratory complications, airway, bariatric, opioid-free, proinflammatory

Abstract

Obesity is a multisystemic and proinflammatory disease whose prevalence has been growing exponentially in recent years. Obesity increases the risk of perioperative morbidity and mortality and post-surgical complications, mainly respiratory, cardiovascular and thrombotic. One of the critical points for the anesthesiologist in bariatric surgery is the management of the airway. These patients have a high incidence of difficulty in ventilation with a face mask, correct pre-oxygenation and placing the patient in the “ramp position” for intubation is essential. At the Hospital Universitario de Getafe opioid-free anesthesia is used. These recommendations should be taken into account in any obese patient who is going to undergo any type of surgery.

References

- Gimeno Moro A.M., Herrero Bernuz L. Á., Aguilar Martínez C. Capítulo 26. Manejo de la vía aérea en obesidad mórbida. Martínez Hurtado E.D., Mariscal Flores M.L., García Rueda A, Charco Mora P, Ferrando Ortolá C, León Castelao E. Manejo de la Vía Aérea y Ventilación Mecánica. 1ª ed. Madrid: Editorial médica Panamericana S.A; 2023: 315-327.

- Pindado Martínez M.L., Ruiz de Adana Belbel J.C., Castellanos González R, Caro Cascante M.d.M. Capítulo 15. Manejo de la vía aérea en el obeso mórbido. Mariscal Flores M.L., Martínez Hurtado E.D. Manual de manejo de la vía aérea difícil. 3ª ed. Madrid: AnestesiaR.org; 2017: 267-280.

- Roop Kaw, MD, Jean Wong, MD, FRCPC, and Babak Mokhlesi, MD. Obesity and Obesity Hypoventilation, Sleep Hypoventilation, and Postoperative Respiratory Failure. Respiration and Sleep Medicine. International Anesthesia Research Society. 2021; 132 (5): 1265-1273. DOI: 10.1213/ANE.0000000000005352.

- Crispiana Cozowicz, MD, and Stavros G. Memtsoudis, MD, PhD, MBA. Perioperative Management of the Patient With Obstructive Sleep Apnea: A Narrative Review. Respiration and Sleep Medicine. International Anesthesia Research Society. 2021; 132 (5): 1231-1243. DOI: 10.1213/ANE.0000000000005444.

- Toby N. Weingarten and Juraj Sprung. Perioperative considerations for adult patients with obstructive sleep apnea. Curr Opin Anesthesiol. 2022; 35 (3): 392–400. DOI:10.1097/ACO.0000000000001125.

- Thota B, Jan KM, Oh MW, Moon TS. Airway management in patients with obesity. Saudi J Anaesth 2022; 16: 76-81. DOI: 10.4103/sja.sja_351_21.

- Sameh Abdelkhalik Ahmed, MD; Mohamed Shebl Abdelghany, MD; Mohamed Elsayed Afandy, MD. The effect of opioid-free anesthesia on the post-operative opioid consumption in laparoscopic bariatric surgeries: A randomized controlled double-blind study. Journal of Opioid Management 2022; 18 (1): 47-56.

Published

2024-03-04

How to Cite

Pretus Rubio, S., Baños Maestro, A., & Alonso Ramos, I. (2024). Bariatric surgery: Laparoscopic gastric bypass. Revista Electrónica AnestesiaR, 16(2). https://doi.org/10.30445/rear.v16i2.1193

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