Obese patients have a significantly higher risk of postoperative myocardial infarction, wound infection, nerve injury, and urinary infection. Obesity is an independent risk factor for perioperative morbidity, and morbid obesity is a risk factor for mortality.
Studies on perioperative aspects of childhood overweight and obesity are rare. Our report shows a high prevalence of overweight and obesity in this cohort of pediatric surgical patients. Certain perioperative morbidities are more common in overweight and obese than in normal weight children. There is a need for prospective studies of the impact of childhood overweight and obesity on anesthesia and surgical outcome.
Tetzlaff J. Atrial fibrillation after ondansetron for the prevention and treatment of postoperative nausea and vomiting: a case report. Can J Anesth 2003; 50(3): 229-231. 5. Higgins DJ, Bunker NJ. Dolasetron and peri-operative cardiac arrhythmia. Anaesthesia 2005; 60: 936-937. 6. Thompson A, Balser JR. Perioperative cardiac arrhythmias. Br J Anaesth 2004; 93: 86-94. 7. Mitterschiffthaler G, Putz G. Supraventricular tachycardia and ST segment depression after intravenous administration of tropisetron.
LRYGB is a safe technique of bariatric surgery with low risk of perioperative complications. Establishing a fast-track LRYGB service requires a learning curve of 100 cases, and a good indicator is length of hospital stay, which decreases as the service matures. Most LRYGB patients can be safely discharged by 24 h.
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