Critical care of the obese and bariatric surgical patient

Levi, Daniela; Goodman, Elliot R.; Patel, Mayank; Savransky, Yevgeny

doi:10.1016/s0749-0704(02)00060-x

Cited by 63 publications

(43 citation statements)

References 95 publications

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“…However, this method is not very common in Japan, except in the fi elds of cosmetic, plastic, and reconstructive surgery. Although LAGB is becoming the most common type of bariatric surgery with minimal invasion, and notwithstanding the fact that there is considerable literature regarding the anesthetic considerations of this surgery [5][6][7][8], there have yet to be any case reports of Japanese LAGB patients. Our hospital has been employing this procedure since August 2005 and has become the leading institution for education in this procedure in Japan [10].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of laparoscopic adjustable gastric banding in Japanese patients with morbid obesity

et al. 2007

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Laparoscopic adjustable gastric banding (LAGB) is a common type of bariatric surgery worldwide, though not so in Japan. Here we report the anesthetic management of LAGB in ten Japanese patients with morbid obesity. General anesthesia was induced with propofol, fentanyl, and vecuronium bromide and maintained with sevoflurane in oxygen and air (or nitrous oxide in some cases). In a limited number of patients, perioperative epidural analgesia was performed, with fentanyl injected intravenously for analgesia in the remaining patients. Although some special considerations were needed, in perioperative management, including thromboprophylaxis, there were no severe complications in any of the patients.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of laparoscopic adjustable gastric banding in Japanese patients with morbid obesity

et al. 2007

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“…Patients who are at high risk for postoperative myocardial infarction should be monitored in an intensive care setting. High-risk features include age > 50, history of congestive heart failure, myocardial infarction, OSA, venous thromboembolism, metabolic syndrome, chronic respiratory failure, and pulmonary hypertension [69,70].…”

Section: Prevention and Recognition Of Complicationsmentioning

confidence: 99%

Perioperative Care of the Surgical Patient

Boonchaya‐anant

Powell

Apovian

2015

The Clinician’s Guide to the Treatment of Obesity

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“…Morbid obesity is associated with reduced functional residual capacity, altered ventilationperfusion mismatch, shunting, atelectasis, and obstructive sleep apnea, which leads to postoperative hypoxemia. 5,6 General anesthesia and surgery also have a major impact on respiratory physiology postoperatively due to impaired coughing, hypoventilation, and respiratory depression caused by narcotics and residual effects of anesthesia. [7][8][9][10][11] Together, morbid obesity and general anesthesia have additive deleterious effects on respiratory physiology, leading to a propensity for postoperative hypoxemia in morbidly obese patients undergoing bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%