Anesthesia management in sleeve gastrectomy: Single center experience
Ahmet Selim Ozkan
Inonu University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey
Aim: Sleeve gastrectomy surgery is performed by laparoscopic method and preferred by obesity surgeons, frequently. Because these patients are morbidly obese,many additional diseases are seen and anesthesia management is challenging for anesthesiologist. In this study, demographic and perioperative data of 23 patients undergoing sleeve gasterectomy surgery (SGS) in our hospital were presented.
Material and Methods: This study was performed in 23 adult patients undervent SGS with laparoscopic bariatric surgery. The demographic and operative data, hemodynamics and blood glucose values of the cases were recorded at specified times. The data were evaluated by mean ± SD and the ranges of the data were also calculated.
Results: The mean age of patients was 37.6±10.2 years.The mean body mass index was 45.8±5.4 kg/m2. The mean duration of anesthesia was 153.3±65.6 min, and the mean duration of surgery was 136.6±63.8 min.There were no statistically differences in terms of heart rate and peripheral oxygen saturation. There was significant increase in mean arterial pressure at T3 when compared to T2(p=0,09). End-tidal carbon dioxide value significantly decreased at T2 when compared toT1(p<0,001) and significantly increased at T6 when compared toT5 (p=0,005). Blood glucose values were increased significantly at T2 and T7 when compared to T0 values (p<0,001).
Conclusion: Anesthesia management of morbid obese patients is challenging for anesthesiologist, because the hemodynamic stability and hormonal values of the patients can be changed due to the increased BMI. Preoperative hemodynamics and blood glucose values should be closely monitored and necessary interventions should be applied considering the operation periods.