ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 2 (2018), SELECTED ISSUES IN ANESTHESIOLOGY
No. 2 (2018)
SELECTED ISSUES IN ANESTHESIOLOGY

The features of anesthesia in bariatric surgery

Published 24.06.2018
Evgenii Garbuzov
City Hospital № 40, Saint-Petersburg
https://orcid.org/0000-0003-2990-0320
G.A. Ovsyannikov
City Hospital № 40, Saint-Petersburg
https://orcid.org/0000-0003-2477-7765
S.G. Sherbak
City Hospital № 40, Saint-Petersburg
https://orcid.org/0000-0001-5036-1259
#2018-2
PDF_2018-3_31-35 (Russian)

Keywords

anesthesia
morbid obesity
bariatric surgery
laparoscopic surgery
difficult airways
inhaled anesthetics
monitoring of neuromuscular block

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1.
Garbuzov E., Ovsyannikov G.A., Sherbak S.G. The features of anesthesia in bariatric surgery. Annals of Critical Care. 2018;(2):31-35. doi:10.21320/1818-474X-2018-2-31-35
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Abstract

Nowadays obesity is a worldwide problem. Changes associated with the obesity commonly increase risks of perioperative complications that could be fatal. The increasing of fat tissue influences significantly on pharmacokinetic of intravenous drugs, nevertheless effects of inhaled anesthetics remain more predictable. Structural changes of upper airways, sleep apnea obstructive syndrome, cervical osteochondrosis reduce visualization in direct laryngoscopy. Frequency of difficult tracheal intubation in patients with body weight index more than 40 kg/m2 reaches 13–24 %. In some cases awake tracheal intubation is necessary, that changes a traditional induction plan. Morbid obesity patients have often cardiovascular diseases, respiratory system disorders and increased intra-abdominal pressure, therefore they need a differentiated approach for ventilation strategy for safe anesthesia. Knowledge of the pathophysiology of these changes allows to take measures to prevent serious complications. Nowadays in the general surgery department of the Saint-Petersburg City Hospital № 40 we perform two types of bariatric operations: sleeve — resection and gastric-bypass. In this article we have presented our experience of perioperative management of morbid obese patient for bariatric surgery.
PDF_2018-3_31-35 (Russian)

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