Anesthetic management of morbidly obese and super-morbidly obese patients undergoing bariatric operations: hospital course and outcomes.
作者： Yigal Leykin , Tommaso Pellis , Eric Del Mestro , Bernardo Marzano , Giovanni Fanti
DOI: 10.1381/096089206779319491
关键词:
摘要: Background: Although the implications for anesthetic and perioperative care of severely obese patients undergoing weight loss operations are considerable, current management super-obese (SO) (BMI ≥50 kg/m2), including super-super-obese ≥60) derives from experience with morbidly (MO) 40-49.9 kg/m2). We compared data SO MO to evaluate if influenced outcome. Methods: A retrospective analysis was performed on 150 consecutive (119 MO, 31 SO) bariatric surgery between May 2000 March 2005. Data analyzed included preoperative assessment, management, postoperative care, intra- or complications. Results: There were no differences in course outcome patients. Intraoperative surgical complications occurred 26% (n=8) group 14% (n=15) (P<0.01). Conclusions: No under similar management. Anesthesia can be safely understanding that these not at risk per se due their higher BMI. The degree obesity only incidence intraoperative
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