Bariatric anesthesia ladder

Anesthesia for Bariatric Surgery

Over 65% of the US adult population is overweight or obese, defined by a Body Mass Index (BMI) ≥25 kg/m or ≥30 kg/m, respectively [1, 2]. Bariatric surgery is usually performed in patients with a BMI≥40 kg/m, or a BMI≥30 kg/m with comorbidities that are expected to respond to weight loss (i.e. hypertension, diabetes). Obese patients, undergoing bariatric or other surgical procedures, present an...

Anesthesia for bariatric surgery.

Obesity has become one of the most important public health problems confronting industrialized nations. In 1997 the prevalence of obesity in Europe was 15%-20%. The situation in the USA was even worse. The concept of ideal body weight (IBW) originates from life insurance studies which describe the weight associated with the lowest mortality rate for a given height and gender. IBW can be estimat...

Epidural anesthesia for laparoscopic bariatric surgery: a case report

BACKGROUND Rapid and uneventful postoperative recovery following general anesthesia in morbidly obese patients undergoing bariatric surgery may offer challenges to anesthesiologists. With improved surgical techniques and shorter pneumoperitoneum, regional anesthesia may be considered for this laparoscopic procedure in selected cases. CASE DESCRIPTION The first patient was a 60-year-old male (...

Update for Nurse Anesthetists Anesthesia Case Management for Bariatric Surgery

Objectives At the completion of this course, the reader should be able to: 1. Describe the pathophysiologic changes that are associated with morbid obesity. 2. Discuss commonly used weight-reduction drugs and the dosing of commonly administered anesthetic drugs given to morbidly obese patients. 3. Compare and contrast the various surgical procedures used for bariatric surgery. 4. List periopera...

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