Avtor/Urednik		Uranjek, Jasna; Kasnik, Darja
Naslov		Anesteziološke posebnosti laparoskopske bariatrične kirurgije - naše prve izkušnje
Prevedeni naslov		Specific of anaesthesia for laparoscopic bariatric surgery: initial experience
Tip		članek
Vir		Endoskopska revija
Vol. in št.		Letnik 12, št. 28
Leto izdaje		2007
Obseg		str. 109-4
Jezik		slo
Abstrakt		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 patients subjected 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.
Deskriptorji		OBESITY, MORBID LAPAROSCOPY ANESTHESIA SPIROMETRY BLOOD GAS ANALYSIS PAIN, POSTOPERATIVE