Anesteziološke posebnosti laparoskopske bariatrične kirurgije : naše prve izkušnje
Specifics of anaesthesia for laparoscopic bariatric surgery : initial experience

slovenian

2007

volume 12, issue 28

Slovensko zdravniško društvo, Združenje za endoskopsko kirurgijo

Background. Obesity and its associated comorbidities put the patient undergoing bariatric surgery at increased risk for anaesthesia-related complications.Methods. Forty-two anaesthesia charts of morbidly obese patientssubjected to laparoscopic bariatric surgery were analysed retrospectively with a special attention being given to respiratory function tests. Results. Preoperative anaesthesiologic examination revealed one to several coexisting conditions in 69 % of all patients. Average vital capacity (VC) before the operation was 98. 36 % of the predicted value; arterial blood gas analyses were normal. Severe long-term anaesthesia-related complications or prolonged awakening from anaesthesia were not recorded. The postoperative VC was on average 29.50 % lower than the preoperative value. There was a statistically significant increase (p<0. 05) in postoperative pCO2 levels, however without clinical manifestations. Conclusions. From the anaesthesiological point of view, a bariatric patient needs appropriate preoperative evaluation, intense intraoperative monitoring, optimal anaesthesiological medication and proper postoperative care with optimal analgesia.

16.09.2009