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Keywords Anesthesia laparoscopic sleeve...

Anesthesia laparoscopic sleeve gastrectomy

https://read.qxmd.com/read/38507149/effect-of-zusanli-acupoint-injection-with-anisodamine-on-postoperative-recovery-quality-of-patients-undergoing-bariatric-surgery
#1
JOURNAL ARTICLE
Jianxin Cheng, Xiaohan Wang, Rui Wang, Jingyi Sheng, Shanshan Guo, Tianya Liu, Zhiping Wang
PURPOSE: To evaluate the influence of anisodamine injection at the Zusanli (ST36) on early postoperative recovery quality in patients who have undergone laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: 141 patients undergoing laparoscopic sleeve gastrectomy were randomly divided into the control group (group C), the normal saline group (group S) and the anisodamine group (group A). Acupuncture point injections were administered after induction of general anesthesia...
March 20, 2024: Obesity Surgery
https://read.qxmd.com/read/38500257/successful-anesthetic-management-for-obese-patients-with-interstitial-lung-disease-undergoing-laparoscopic-sleeve-gastrectomy-a-bridge-to-improved-lung-transplant-eligibility
#2
JOURNAL ARTICLE
Piotr Mieszczański, Marek Janiak, Paweł Ziemiański, Radosław Cylke, Wojciech Lisik, Janusz Trzebicki
BACKGROUND Patients with obesity with interstitial lung diseases (ILD) are encouraged to lose weight, as it improves lung function and lung transplant eligibility. As exercise tolerance in these patients is low and weight gain is a common adverse effect of corticosteroids, bariatric surgery can be an effective method for the management of obesity in this patient group. However, perioperative complications in such high-risk patients remain a concern. Therefore, we aimed to demonstrate successful anesthetic management for obese patients with ILD, which may be practically utilized to reduce perioperative pulmonary complications and improve outcomes...
March 19, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38499943/ultrasound-guided-external-oblique-intercostal-plane-block-for-postoperative-analgesia-in-laparoscopic-sleeve-gastrectomy-a-prospective-randomized-controlled-patient-and-observer-blinded-study
#3
JOURNAL ARTICLE
Ali Sait Kavakli, Taylan Sahin, Umit Koc, Arzu Karaveli
PURPOSE: The external oblique intercostal plane (EOI) block is a novel block technique for anterolateral upper abdominal wall analgesia. The superficial nature of the external oblique intercostal plane allows it to be easily identified even in patients with obesity. The aim of this study was to test the hypothesis that EOI block would reduce IV morphine consumption within 24 h after laparoscopic sleeve gastrectomy. MATERIALS AND METHODS: Patients were randomly assigned to one of two groups: EOI block group and control group...
March 18, 2024: Obesity Surgery
https://read.qxmd.com/read/38493108/effect-of-deep-neuromuscular-block-on-the-quality-of-early-recovery-after-sleeve-gastrectomy-in-obese-patients-a-randomized-controlled-trial
#4
JOURNAL ARTICLE
Wan-Li Yang, Ya-Ling Wen, Wen-Mei Xu, Chi-Liang Xu, Wen-Qin Yin, Jing-Yan Lin
BACKGROUND: Deep neuromuscular block (NMB) has been shown to improve surgical conditions and alleviate post-operative pain in bariatric surgery compared with moderate NMB. We hypothesized that deep NMB could also improve the quality of early recovery after laparoscopic sleeve gastrectomy (LSG). METHODS: Eighty patients were randomized to receive either deep (post-tetanic count 1-3) or moderate (train-of-four count 1-3) NMB. The QoR-15 questionnaire was used to evaluate the quality of early recovery at 1 day before surgery (T0), 24 and 48 h after surgery (T2, T3)...
March 16, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38472704/the-impact-of-preoperative-dexamethasone-administration-on-quality-of-recovery-following-laparoscopic-sleeve-gastrectomy-a-prospective-observational-study
#5
JOURNAL ARTICLE
Mehmet Gokhan Taflan, Yasemin Burcu Ustun, Esra Turunc, Cengiz Kaya, Burhan Dost, Sezgin Bilgin, Emine Ozdemir, Gokhan Selcuk Ozbalci
INTRODUCTION: Recovery from anesthesia is complex and affected by multiple factors. In patient with obesity, the increased prevalence of anxiety and depressive disorders poses a challenge in achieving optimal patient satisfaction. Therefore, strategies to enhance the quality of recovery are crucial for this population. This study aimed to investigate whether administration of dexamethasone to patients undergoing laparoscopic sleeve gastrectomy (LSG) could improve recovery outcomes. METHODS: This prospective observational study was conducted at a tertiary university hospital in Samsun, Turkey...
March 12, 2024: Obesity Surgery
https://read.qxmd.com/read/38429485/the-impact-of-aprepitant-on-nausea-and-vomiting-following-laparoscopic-sleeve-gastrectomy-a-blinded-randomized-controlled-trial
#6
JOURNAL ARTICLE
Elías Ortiz, Alberto I González, Valeria Jaime, José A Guzmán, Isaac Esparza, José O Orozco, Manuel A Guerrero, Almino Ramos, Carlos Zerrweck
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is associated with postoperative nausea and vomiting (PONV). We aimed to compare the effects of aprepitant on the incidence of PONV after LSG. METHODS: In this double-blind, randomized controlled trial, the case group received the standard care regimen for PONV (dexamethasone 10 mg, ondansetron 4 mg, and metoclopramide 10 mg) plus prophylactic oral aprepitant 80 mg 1 h preoperatively. The control group received standard care plus a placebo...
March 2, 2024: Obesity Surgery
https://read.qxmd.com/read/38399612/association-of-obesity-and-bariatric-surgery-on-hair-health
#7
REVIEW
Katarzyna Smolarczyk, Blazej Meczekalski, Ewa Rudnicka, Katarzyna Suchta, Anna Szeliga
Obesity and obesity-related conditions today constitute a public health problem worldwide. Obesity is an "epidemic" chronic disorder, which is defined by the WHO as normal or excessive fat accumulation that may impair health. It is also defined for adults as a BMI that is greater than or equal to 30. The most common obesity-related diseases are type 2 diabetes mellitus, cardiovascular diseases, metabolic syndrome, chronic kidney disease, hyperlipidemia, hypertension, nonalcoholic fatty liver disease, and certain types of cancer...
February 14, 2024: Medicina
https://read.qxmd.com/read/38313732/the-impact-of-moderate-versus-deep-neuromuscular-blockade-on-the-recovery-characteristics-following-laparoscopic-sleeve-gastrectomy-a-randomized-double-blind-clinical-trial
#8
JOURNAL ARTICLE
Narjes Alotaibi, Mahmoud Althaqafi, Abdullah Alharbi, Ahmed Thallaj, Abdulaziz Ahmad, Abdullah Aldohayan, Fahad Bamehriz, Abdelazeem Eldawlatly
BACKGROUND: Anesthesia with deep neuromuscular block for laparoscopic surgery may result in less postoperative pain with lower intra-abdominal pressure. However, the results in the existing literature are controversial. This study aimed to evaluate the effect of deep versus moderate neuromuscular block (NMB) on the postoperative recovery characteristics after laparoscopic sleeve gastrectomy (LSG) for weight loss surgery. METHODS: This is parallel-group, randomized clinical trial...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38091501/impact-on-anesthetic-agent-consumption-after-autonomic-neural-blockade-as-part-of-a-combined-anesthesia-protocol-a-randomized-clinical-trial
#9
JOURNAL ARTICLE
Jorge Daes, Rafael Pantoja, Jorge Luquetta, Elika Luque, Andrés Hanssen, Jose Rocha, David J Morrell
BACKGROUND: The intraoperative autonomic neural blockade (ANB) was found safe and effective in controlling pain and associated symptoms and reducing analgesic consumption after laparoscopic sleeve gastrectomy (LSG). This study evaluated whether ANB performed at the outset of LSG reduces anesthetic consumption and promotes hemodynamic stability. METHODS: This prospective, double-blinded, randomized trial involved patients undergoing LSG in 2 high-volume institutions...
December 8, 2023: Anesthesia and Analgesia
https://read.qxmd.com/read/38076317/anesthesia-and-perioperative-management-of-bariatric-surgery-in-a-patient-with-bmi-over-70%C3%A2-kg-m2-a-case-report
#10
Ling Dong, Chunxia Huang, Benli Jia, Ye Zhang, Qi Xue
The anesthesia protocol of bariatric surgery has not been standardized in detail. This report introduced an optimized anesthesia strategy for a severely obese male patient for laparoscopic sleeve gastrectomy and a continuous follow-up for 12 months. A 34-year-old male patient was admitted for super-super-obesity with obstructive sleep apnea-hypopnea syndrome. Based on the results of the examination before laparoscopic sleeve gastrectomy, he received an efficient preoperative exercise guidance for pulmonary function promotion and diet restriction...
December 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37994997/the-degree-of-preoperative-hypoalbuminemia-is-associated-with-risk-of-postoperative-complications-in-metabolic-and-bariatric-surgery-patients
#11
JOURNAL ARTICLE
Lee D Ying, Grace F Chao, Joseph Canner, Elena Graetz, Saber Ghiassi, Jennifer S Schwartz, Emily J Zolfaghari, Eric B Schneider, Karen E Gibbs
BACKGROUND: The incidence and impact of hypoalbuminemia in bariatric surgery patients is poorly characterized. We describe its distribution in laparoscopic sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB) patients undergoing primary or revision surgeries and assess its impact on postoperative complications. METHODS: The Metabolic and Bariatric Surgery Quality Improvement Program Database (2015 to 2021) was analyzed. Hypoalbuminemia was defined as Severe (< 3 g/dL), Moderate (3 ≤ 3...
November 23, 2023: Obesity Surgery
https://read.qxmd.com/read/37924061/the-transit-of-oral-premedication-beyond-the-stomach-in-patients-undergoing-laparoscopic-sleeve-gastrectomy-a-retrospective-observational-multicentre-study
#12
MULTICENTER STUDY
Laurence Weinberg, Nick Scurrah, Tom Neal-Williams, Wendell Zhang, Sharon Chen, Hugh Slifirski, David S Liu, Angelica Armellini, Ahmad Aly, Anthony Clough, Dong-Kyu Lee
BACKGROUND: Antiemetic and analgesic oral premedications are frequently prescribed preoperatively to enhance recovery after laparoscopic sleeve gastrectomy. However, it is unknown whether these medications transit beyond the stomach or if they remain in the sleeve resection specimen, thereby negating their pharmacological effects. METHODS: A retrospective cohort study was performed on patients undergoing laparoscopic sleeve gastrectomy and receiving oral premedication (slow-release tapentadol and netupitant/palonosetron) as part of enhanced recovery after bariatric surgery program...
November 4, 2023: BMC Surgery
https://read.qxmd.com/read/37900882/effect-of-sevoflurane-on-the-deep-neuromuscular-blockade-in-obese-patients-undergoing-laparoscopic-sleeve-gastrectomy-a-single-center-prospective-randomized-controlled-study
#13
RANDOMIZED CONTROLLED TRIAL
Liujiazi Shao, Yang Liu, Junqiang Hao, Jiayi Li, Hongyu Wang, Fu-Shan Xue, Bijia Song, Lei Wan
OBJECTIVE: Our study aimed to demonstrate that the combination of sevoflurane inhalation with continuous intravenous anesthesia can effectively reduce the dosage of muscle relaxants, shorten extubation time under anesthesia while meeting the requirements of laparoscopic deep neuromuscular block (dNMB) in obese patients. Additionally, we sought to assess the potential reduction in postoperative residual muscle relaxants. METHODS: Fifty-nine patients were randomly assigned...
2023: Drug Design, Development and Therapy
https://read.qxmd.com/read/37645008/effect-of-intraoperative-lung-recruitment-and-transversus-abdominis-plane-block-in-laparoscopic-bariatric-surgery-on-postoperative-lung-functions-a-randomized-controlled-study
#14
JOURNAL ARTICLE
Aboseif Aboseif, Ahmed Bedewy, Magdy Nafei, Raafat Hammad, Salwa Amin
BACKGROUND: Morbid obesity may cause a restrictive condition. General anesthesia (GA) and supine posture both decrease lung capacity and functional residual capacity (FRC), altering the ventilation/perfusion ratio and raising the pulmonary shunt. OBJECTIVES: To evaluate the impact of recruitment maneuver (RM) and transversus abdominis plane (TAP) block performed during laparoscopic bariatric surgery on spirometry, oxygenation, opioid requirements, and pain score assessed after surgery...
April 2023: Anesthesiology and Pain Medicine
https://read.qxmd.com/read/37628454/styletubation-in-bariatric-surgery-a-case-report
#15
JOURNAL ARTICLE
Bor-Gang Wu, Hsiang-Ning Luk, Jason Zhensheng Qu, Alan Shikani
Direct laryngoscopes and videolaryngoscopes are the dominant endotracheal intubation tools. The styletubation technique (using a video-assisted intubating stylet) has shown its advantages in terms of short intubation time, high success rate, less required stimulation, and operator satisfaction. The learning curve can be steep but is easily overcome if technical pitfalls are avoided. Conditions that make styletubation challenging include secretions/blood, short/stiff neck, restricted mouth opening and cervical spine mobility, anatomical abnormalities over head and neck regions, obesity, etc...
August 10, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37542100/comparison-between-multimodal-and-intraoperative-opioid-free-anesthesia-for-laparoscopic-sleeve-gastrectomy-a-prospective-randomized-study
#16
RANDOMIZED CONTROLLED TRIAL
Piotr Mieszczański, Grzegorz Górniewski, Paweł Ziemiański, Radosław Cylke, Wojciech Lisik, Janusz Trzebicki
Anesthesia for laparoscopic sleeve gastrectomy and perioperative management remains a challenge. Several clinical studies indicate that opioid-free anesthesia (OFA) may be beneficial, but there is no consensus on the most optimal anesthesia technique in clinical practice. The aim of our study was to assess the potential benefits and risks of intraoperative OFA compared to multimodal analgesia (MMA) with remifentanil infusion. In a prospective, randomized study, we analyzed 59 patients' data. Primary outcome measures were oxycodone consumption and reported pain scores (numerical rating scale, NRS) at 1, 6, 12, and 24th hours after surgery...
August 4, 2023: Scientific Reports
https://read.qxmd.com/read/37512059/remimazolam-induction-in-a-patient-with-super-super-obesity-and-obstructive-sleep-apnea-a-case-report
#17
Sou Hyun Lee, Hyeji Han
Background : With the rising prevalence of obesity, anesthesiologists are expected to increasingly encounter patients with obesity, which poses challenges for anesthetic management. The use of remimazolam, an intravenous anesthetic agent approved in 2020, may be beneficial in these patients. However, its use in patients with super-super obesity remains underexplored. Case Description : A 55-year-old woman with a body mass index (BMI) of 60.6 kg/m2 and moderate obstructive sleep apnea (OSA) underwent laparoscopic sleeve gastrectomy under general anesthesia...
July 5, 2023: Medicina
https://read.qxmd.com/read/37351766/the-impact-of-blood-pressure-switching-from-controlled-hypotension-to-late-elevated-blood-pressure-during-laparoscopic-sleeve-gastrectomy-controlled-clinical-trial
#18
RANDOMIZED CONTROLLED TRIAL
Alaa M Sewefy, Karim Sabry, Hassan M Hetta, Ahmed M Atyia
PURPOSE: Laparoscopic sleeve gastrectomy (LSG) is the most done bariatric procedure. Bleeding and leak are the most common associated complications. Elevation of systolic blood pressure (SBP) leads to discovering the bleeding sites but results in a bloody field and increases the operative time. Controlled hypotension shortens the operative time, reduces tissue edema, and improves field vision. We aimed to test controlled hypotension during LSG. MATERIAL AND METHODS: This was a randomized controlled trial that included 200 patients who were operated by LSG, randomly assigned to 2 equal groups: group 1, operated with controlled hypotensive anesthesia, and group 2, operated with elevated SBP to 140 mmHg...
August 2023: Obesity Surgery
https://read.qxmd.com/read/37266597/effect-of-intraoperative-mild-hyperventilation-on-the-incidence-of-shoulder-pain-after-laparoscopic-sleeve-gastrectomy-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Chaojie Yang, Peng Rong, Jian Zhang, Chaotao Fan, Bin Ling, Wei Wang
BACKGROUNDS: To observe the effect of using mild intraoperative hyperventilation on the incidence of postlaparoscopic shoulder pain (PLSP) in patients undergoing laparoscopic sleeve gastrectomy. METHODS: Eighty patients undergoing laparoscopic sleeve gastrectomy, aged 22 to 36 years, with American Society of Anesthesiologists grade I or II, were divided into 2 groups according to method of random number table. A mild hyperventilation was used in group A with controlling pressure of end-tidal carbon dioxide (PETCO2) of 30 to 33 mm Hg, while conventional ventilation was used in group B with PETCO2 35 to 40 mm Hg during the operation...
June 2, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37252007/driving-pressure-guided-ventilation-in-obese-patients-undergoing-laparoscopic-sleeve-gastrectomy-a-randomized-controlled-trial
#20
JOURNAL ARTICLE
Guanyu Yang, Pin Zhang, Liumei Li, Jingjing Wang, Pengfei Jiao, Jie Wang, Qinjun Chu
PURPOSE: This study aims to compare the conventional lung protective ventilation strategy (LPVS) with driving pressure-guided ventilation in obese patients undergoing laparoscopic sleeve gastrectomy (LSG). METHODS: Forty-five patients undergoing elective LSG under general anesthesia were randomly assigned to the conventional LPVS group (group L) or the driving pressure-guided ventilation group (group D) using random numbers generated by Excel. The primary outcome was the driving pressure of both groups 90 min after pneumoperitoneum...
2023: Diabetes, Metabolic Syndrome and Obesity
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