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16 papers 0 to 25 followers
Dina Y Kassim, Ibrahim M Esmat, Mohammed A Elgendy
Background: Patients' surgical experiences are influenced by their perception of pain management. Duloxetine (Dulox) and dexamethasone (Dex) are used in multimodal analgesia to reduce opioid use and side effects. Dulox is a selective serotonin and norepinephrine reuptake inhibitor and has efficacy in chronic pain conditions. Dex enhances postoperative (PO) analgesia and reduces PO nausea and vomiting (PONV). Methods: Seventy-five female patients were randomly allocated into one of three equal groups...
January 2018: Saudi Journal of Anaesthesia
T A Halliday, J Sundqvist, M Hultin, J Walldén
BACKGROUND: The risk of post-operative nausea and vomiting (PONV) in patients undergoing bariatric surgery is unclear. The aim of the study was to investigate the risk of PONV and the use and effectiveness of PONV prophylaxis. METHODS: This prospective observational study included 74 patients undergoing bariatric surgery with total intravenous anaesthesia. Patients were given PONV prophylaxis based on published guidelines and a simplified PONV risk score. Perioperative data were collected and a questionnaire was used at 2, 4, 6, 24, 48 and 72 h after the operation to evaluate PONV...
May 2017: Acta Anaesthesiologica Scandinavica
Kangwon Song, Michael J Melroy, Oliver C Whipple
STUDY OBJECTIVE: To evaluate the effect of therapeutic doses of intravenous acetaminophen (IV APAP) on postoperative opioid use following bariatric surgery. DESIGN: Retrospective review of medical records. SETTING: A 654-bed academic hospital. PATIENTS: Records for 104 patients who underwent laparoscopic sleeve gastrectomy (LSG; 44 patients) or laparoscopic Roux-en-Y gastric bypass (LRYGB; 60 patients) were reviewed...
December 2014: Pharmacotherapy
K Ky Lam, W Lm Mui
OBJECTIVE: To investigate whether a new anaesthesia protocol can reduce opioid use in obese patients following laparoscopic sleeve gastrectomy. METHODS: This prospective observational case series was conducted in a private hospital in Hong Kong that has been accredited as a Centre of Excellence for Bariatric Surgery. Thirty consecutive patients scheduled for laparoscopic sleeve gastrectomy from 1 January 2015 to 31 March 2015 were reviewed. RESULTS: Of the 30 patients, 14 (46...
October 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Salvatore Tolone, Vincenzo Pilone, Mario Musella, Gianluca Rossetti, Marco Milone, Landino Fei, Pietro Forestieri, Ludovico Docimo
BACKGROUND: At present, prospectively collected data on rhabdomyolysis (RML) after bariatric surgery are limited. OBJECTIVES: To evaluate the incidence, risk factors, and therapeutic strategy of RML in different bariatric procedures. SETTING: University hospitals, Italy. METHODS: Obese patients were prospectively enrolled. Preoperative demographic characteristics and clinical data, as well as type of anesthesia and type and total duration of surgery, were recorded as potential risk factors for RML...
February 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
C E Nightingale, M P Margarson, E Shearer, J W Redman, D N Lucas, J M Cousins, W T A Fox, N J Kennedy, P J Venn, M Skues, D Gabbott, U Misra, J J Pandit, M T Popat, R Griffiths
Guidelines are presented for the organisational and clinical peri-operative management of anaesthesia and surgery for patients who are obese, along with a summary of the problems that obesity may cause peri-operatively. The advice presented is based on previously published advice, clinical studies and expert opinion.
July 2015: Anaesthesia
Joseph A Sanford, Bassam Kadry, Jay B Brodsky, Alex Macario
BACKGROUND: The goal of this study was to document the relationship between BMI and the components of bariatric surgical operating room (OR) time. METHODS: The Stanford Translational Research Integrated Database Environment identified all patients who underwent laparoscopic Roux-en-Y gastric bypass procedures at Stanford University Medical Center between May 2008 and November 2013. The 434 patients were divided into 3 groups: group 1 (n = 213) BMI ≥35 to <45 kg/m(2), group 2 (n = 188) BMI ≥45...
June 2015: Obesity Surgery
Amit Lehavi, Olga Sandler, Ahmad Mahajna, Abraham Weissman, Yeshayahu Shai Katz
BACKGROUND: Rhabdomyolysis is a relatively uncommon, severe complication of anesthesia and surgery in the morbidly obese. As the use of propofol-based anesthesia has been associated with an increased risk of rhabdomyolysis and metabolic acidosis, this pilot study was designed to assess the effect of propofol anesthesia on the incidence of rhabdomyolysis in morbidly obese patients undergoing bariatric surgery. METHODS: Thirty, morbidly obese patients (body mass index 43 ± 3 kg/m(2)) scheduled for bariatric laparoscopic sleeve gastrectomy were randomized to receive either propofol (P) or inhalational anesthetic (I)-based balanced general anesthesia...
October 2015: Obesity Surgery
Mohamed Ahmed Mansour, Ahmed Abdelaal Ahmed Mahmoud, Mohammed Geddawy
OBJECTIVE: The objective of this study was to evaluate the efficacy and safety of giving general anesthesia without the use of any opioids either systemic or intraperitoneal in bariatric surgery. METHODS: Prospective randomized controlled trial. Obese patients (body mass index >50 Kg/m(2)) undergoing laparoscopic sleeve gastrectomies were recruited and provided an informed signed consent. Patients were randomized using a computer generated randomization table to receive either opioid or non-opioid based anesthesia...
October 2013: Saudi Journal of Anaesthesia
Amandeep Kaur, Anil Kumar Jain, Raminder Sehgal, Jayashree Sood
CONTEXT: Morbidly obese patients are prone for intraoperative hemodynamic disturbances and postoperative airway complications. AIM: Comparison of intraoperative hemodynamics and postoperative recovery characteristics of desflurane versus sevoflurane in morbidly obese patients undergoing laparoscopic bariatric surgery. SETTINGS AND DESIGN: Randomized controlled trial. MATERIALS AND METHODS: After institutional ethics committee approval and written informed consent, 40 morbidly obese patients (BMI > 35 kg/m(2)) were randomized to receive desflurane or sevoflurane as part of a standardized general anesthesia technique...
January 2013: Journal of Anaesthesiology, Clinical Pharmacology
Simone van Kralingen, Jeroen Diepstraten, Ewoudt M W van de Garde, Ary-Jan van der Lely, Eric P A van Dongen, Bert van Ramshorst, Catherijne A J Knibbe
BACKGROUND AND OBJECTIVE: The aim of this pilot study was to evaluate efficacy and safety of propofol 350 versus 200 mg for induction of anaesthesia in morbidly obese patients undergoing bariatric surgery. PATIENTS AND METHODS: Twenty morbidly obese patients (BMI range 38-60 kg m) were randomized to receive propofol 350 or 200 mg over 60 s for induction of anaesthesia. Bispectral index (BIS) values, induction characteristics and haemodynamic parameters were compared...
June 2010: European Journal of Anaesthesiology
Daniel B Wool, Harry J M Lemmens, Jay B Brodsky, Houman Solomon, Karen P Chong, John M Morton
BACKGROUND: Morbid obesity and bariatric surgery are both risk factors for the development of postoperative rhabdomyolysis (RML). RML results from injury to skeletal muscle, and a serum creatine phosphokinase (CK) level >1,000 IU/L is considered diagnostic of RML. The aim of this study was to determine if intraoperative intravenous fluid (IVF) volume affects postoperative CK levels following laparoscopic bariatric operations. STUDY DESIGN: Prospective, single blinded, and randomized trial was conducted...
June 2010: Obesity Surgery
Liliana Sollazzi, Cristina Modesti, Francesca Vitale, Teresa Sacco, Pierpaolo Ciocchetti, Anna Sara Idra, Roberto Maria Tacchino, Valter Perilli
BACKGROUND: In obese patients, concomitant use of clonidine and ketamine might be suitable to reduce the doses and minimize the undesired side effects of anesthetic and analgesic drugs. In this study, we evaluated the perioperative effects of administration of clonidine and ketamine in morbidly obese patients undergoing weight loss surgery at a university hospital in Rome, Italy. METHODS: A total of 50 morbidly obese patients undergoing open biliopancreatic diversion for weight loss surgery were enrolled...
January 2009: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Burcu Tufanogullari, Paul F White, Mariana P Peixoto, Daniel Kianpour, Thomas Lacour, James Griffin, Gary Skrivanek, Amy Macaluso, Mary Shah, David A Provost
BACKGROUND: Dexmedetomidine (Dex), an alpha(2) agonist, has well-known anesthetic and analgesic-sparing effects. We designed this prospective, randomized, double-blind, and placebo-controlled dose-ranging study to evaluate the effect of Dex on both early and late recovery after laparoscopic bariatric surgery. METHODS: Eighty consenting ASA II-III morbidly obese patients were randomly assigned to 1 of 4 treatment groups: (1) control group received a saline infusion during surgery, (2) Dex 0...
June 2008: Anesthesia and Analgesia
Ashraf A Moussa, Patrick J Oregan
BACKGROUND AND OBJECTIVES: Laparoscopic bariatric surgeries are associated with an appreciably high rate of postoperative nausea and vomiting. This study was designed to compare the effectiveness of granisetron either alone or in combination with droperidol or dexamethasone, for the prevention of post operative nausea and vomiting (PONV) in patients undergoing laparoscopic bariatric surgeries. METHODS: In a randomized, double-blind, placebo-controlled trial, 120 patients received either Granisetron 1 mg, Granisetron 1 mg plus Droperidol 1...
June 2007: Middle East Journal of Anesthesiology
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