Our anesthetic experiences with morbidly, super and super super obese patients underwent laparoscopic gastric sleeve surgery

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dc.contributor.authorToman, Hüseyin
dc.contributor.authorErbaş, Mesut
dc.contributor.authorArik, Muhammet Kasim
dc.contributor.authorŞahin, Hasan
dc.contributor.authorKiraz, Hasan Ali
dc.contributor.authorŞimşek, Tuncer
dc.contributor.authorÖzkul, Faruk
dc.date.accessioned2025-01-27T19:04:17Z
dc.date.available2025-01-27T19:04:17Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: Obesity is clinically defined with BMI (body mass index) greater than 30 kg m-2 and BMI over the 40 kg m-2 is defined as "morbid obesity", over the 50 kg m-2 BMI is defined as "super obesity" and if BMI is more than 60 kg m-2 it is defined as "super super obesity". Anesthetic management is important because of the problems in cases undergoing bariatric surgery such as ventilation and intubation difficulties, anesthetic drug and dose selection, fluid management and securing airway in postoperative period. In this study, we aimed to share our experiences with morbid, super and super super obese patients underwent laparoscopic gastric sleeve (LGS) surgery. Method: The study performed by the retrospective analysis of 20 patients underwent LGS surgery. Fentanyl 1-2 ?g kg-1 ideal body weight (IBW), propofol 1.5-2.5 mg kg-1 total body weight and rocuronium 0.6-0.8 mg kg-1 IBW administered intravenously for anesthesia induction, patients' intubation was performed in the reverse trendelenburg and the ramp position. Desflurane and remifentanil infusion are used for maintenance. Recruitment maneuver and 3-4 mg kg-1 iv sugammadex used.before the extubation. Results: The women-to-men ratio was 18/2, BMI was 51.4 kg m-2, and 11 were morbid obese, 6 were super obese, 3 were super super obese of the patients. ASA II/III/IV scores were 1/13/6 respectively. STOP BANG questionnaire was given to thirteen patients and intubation was performed in the ramp position. Conclusion: We think making an optimal preoperative preparation, choosing short acting and low doses of intravenous anesthetics, putting patient in ramp position for intubation, applying peroperative PEEP, providing adequate analgesia and antagonising neuromuscular block with sugammadex would prevent the postoperative complications in cases undergoing LGS surgery.
dc.identifier.endpage76
dc.identifier.issn1300-0578
dc.identifier.issue2
dc.identifier.scopus2-s2.0-84930833130
dc.identifier.scopusqualityQ4
dc.identifier.startpage72
dc.identifier.urihttps://hdl.handle.net/20.500.12428/13894
dc.identifier.volume23
dc.indekslendigikaynakScopus
dc.language.isotr
dc.publisherAnestezi Dergisi
dc.relation.ispartofAnestezi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250125
dc.subjectAnesthesia; Laparoscopic sleeve gastrectomy; Morbid; Super super obese
dc.titleOur anesthetic experiences with morbidly, super and super super obese patients underwent laparoscopic gastric sleeve surgery
dc.title.alternativeMorbid, süper ve süper süper obez hastalarda laparoskopik tüp gastrektomi cerrahisinde anestezi deneyimlerimiz
dc.typeArticle

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