Anaesthesia for bariatric surgery

Best Practice and Research: Clinical Anaesthesiology

Volumn 25, Issue 1, 2011, Pages 83-93

  Schumann, Roman ^a  

^a TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

anaesthesia for morbid obesity; bariatric surgery; bariatric surgery outcome; clinical care pathways; CPAP; gastric bypass; morbidly obese airway management; NIPPV; non invasive positive pressure ventilation; opioid sparing analgesia; outpatient bariatric surgery; postoperative pain management; preoperative CPAP; sleep apnoea; sleep disordered breathing; videolaryngoscopy

Indexed keywords

CEFAZOLIN; CISATRACURIUM; CLONIDINE; DESFLURANE; DEXMEDETOMIDINE; FENTANYL; ISOFLURANE; KETAMINE; KETOROLAC; LIDOCAINE; MAGNESIUM SULFATE; METHYLPREDNISOLONE; ROCURONIUM; SEVOFLURANE; VECURONIUM;

ANALGESIA; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ARTICLE; BARIATRIC SURGERY; BODY MASS; BODY WEIGHT; DRUG DOSE TITRATION; DRUG EFFICACY; DRUG SAFETY; ELECTROENCEPHALOGRAM; FUNCTIONAL RESIDUAL CAPACITY; HUMAN; HYPOTENSION; HYPOXEMIA; INTESTINAL DYSMOTILITY; LARYNGEAL MASK; MORBID OBESITY; NEUROMUSCULAR BLOCKING; OBESITY HYPOVENTILATION SYNDROME; OXYGENATION; PATIENT CONTROLLED ANALGESIA; PATIENT POSITIONING; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; POSTANESTHESIA CARE; POSTOPERATIVE CARE; POSTOPERATIVE NAUSEA AND VOMITING; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PRURITUS; RECOVERY ROOM; RESPIRATION CONTROL; SLEEP APNEA SYNDROME; SLEEP DISORDERED BREATHING; SMOKING; SURGICAL INFECTION;

EID: 79952591319     PISSN: 15216896     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bpa.2010.12.006     Document Type: Review

References (100)

1. www.asbs.org. [accessed 08.03.10.].
2. www.IFSO.com. [accessed 08.03.10.].
3. R. Schumann, S.B. Jones, and B. Cooper Update on best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery, 2004-2007 Obesity 17 2009 889 894
4. A. Ramaswamy, R. Gonzales, and C.D. Smith Extensive preoperative testing is not necessary in morbidly obese patients undergoing gastric bypass Journal of Gastrointestinal Surgery 89 2004 159 164
5. R. Schumann, S.B. Jones, and V.E. Ortiz Best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery Obesity Research 13 2005 254 266
6. Practice advisory for preanesthesia evaluation Anesthesiology 96 2002 485 496
7. W.C. Frey, and J. Pilcher Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery Obesity Surgery 13 2003 676 683 (Pubitemid 37352549)
8. T. O'Keeffe, and E.J. Patterson Evidence supporting routine polysomnography before bariatric surgery Obesity Surgery 14 2004 23 26 (Pubitemid 38130711)
9. P.T. Hallowell, T.A. Stellato, and M. Schuster Potentially life-threatening sleep apnea is unrecognized without aggressive evaluation American Journal of Surgery 193 2007 364 367 (Pubitemid 46274591)
10. ASA practice guidelines for the perioperative management of patients with obstructive sleep apnea Anesthesiology 104 2006 1081 1093
11. F. Chung, B. Yegneswaran, and P. Liao STOP questionnaire: a tool to screen patients for obstructive sleep apnea Anesthesiology 108 2008 812 821 (Pubitemid 351589476)
12. F. Chung, B. Yegneswaran, and P. Liao Validation of the Berlin questionnaire and American Society of Anesthesiologists checklists as screening tools for obstructive sleep apnea in surgical patients Anesthesiology 108 2008 822 830 (Pubitemid 351589477)
13. S.K. Ramachandran, S. Kheterpal, and F. Consens Derivation and validation of a simple perioperative sleep apnea prediction score Anesthesia & Analgesia 110 2010 1007 1015
14. A.G. Pashayan, A.N. Passannante, and P. Rock Pathophysiology of obstructive sleep apnea Anesthesiology Clinics of North America 23 2005 431 443 (Pubitemid 40984645)
15. S.A. Chung, H. Yuan, and F. Chung A systemic review of obstructive sleep apnea and its implications for anesthesiologists Anesthesiology 107 2008 1543 6321
16. N.S. Marshall, K.K.H. Wong, and P.Y. Liu Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study Sleep 31 2008 1079 1085
17. R. Cartagena Preoperative evaluation of patients with obesity and obstructive sleep apnea Anesthesiology Clinics of North America 23 2005 463 478 (Pubitemid 40984647)
18. R. Tkacova, F. Rankin, and F.S. Fitzgerald Effects of continuous positive airway pressure on obstructive sleep apnea and left ventricular afterload in patients with heart failure Circulation 98 1998 2269 2275 (Pubitemid 28533845)
19. J.M. Golbin, V.K. Somers, and S.M. Caples Obstructive sleep apnea, cardiovascular disease and pulmonary hypertension Proceedings of the American Thoracic Society 5 2008 200 206 (Pubitemid 351237879)
20. C.F. Ryan, A.A. Lowe, and D. Li Magnetic resonance imaging of the upper airway in obstructive sleep apnea before and after chronic nasal continuous positive airway pressure therapy American Review of Respiratory Disease 144 1991 939 944
21. Z. Dorkova, D. Petrasova, and A. Molcanyiova Effects of continuous positive airway pressure on cardiovascular risk profile in patients with severe obstructive sleep apnea and metabolic syndrome Chest 134 2008 686 692
22. M. Carrera, F. Barbé, and J. Sauleda American Journal of Respiratory and Critical Care Medicine 159 1999 1960 1966
23. G.L. Bryson, F. Chung, and B.A. Finegan Patient selection in ambulatory anesthesia - an evidence-based review: part I Canadian Journal of Anesthesia 51 2004 768 781 (Pubitemid 39561931)
24. R.M. Gupta, J. Parvizi, and A.D. Hanssen Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study Mayo Clinic Proceedings 76 2001 897 905 (Pubitemid 32825911)
25. P. Liao, B. Yegneswaran, and S. Vairavanathan Postoperative complications in patients with obstructive sleep apnea: a retrospective matched cohort study Canadian Journal of Anesthesia 56 2009 819 828
26. C. Miller Management of the difficult intubation in closed malpractice claims ASA Newsletter 64 2000 13 16
27. G.N. Peterson, K.B. Domino, and R.A. Caplan Management of the difficult airway. A closed claims analysis Anesthesiology 103 2005 33 39 (Pubitemid 40943134)
28. J.B. Brodsky, H.J. Lemmens, and J.G. Brock-Utne Morbid obesity and tracheal intubation Anesthesia & Analgesia 94 2002 732 736 (Pubitemid 34177581)
29. M. El-Orbany, and H.J. Woehlck Difficult mask ventilation Anesthesia & Analgesia 109 2009 1870 1880
30. P. Juvin, E. Lavaut, and H. Dupont Difficult tracheal intubation is more common in obese than in lean patients Anesthesia & Analgesia 97 2003 595 600 (Pubitemid 36899772)
31. J.L. Benumof Obstructive sleep apnea in the adult obese patient: implications for airway management Journal of Clinical Anesthesia 13 2001 144 156 (Pubitemid 32381002)
32. M. Siyam, and D. Benhamou Difficult endotracheal intubation in patients with sleep apnea syndrome Anesthesia & Analgesia 95 2002 1098 1102
33. P.J. Neligan, S. Porter, and B. Max Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients Anesthesia & Analgesia 109 2009 1182 1186
34. E.H. Livingston, D. Arterburn, and T.L. Schifftner National surgical quality improvement program analysis of bariatric operations: modifiable risk factors contribute to bariatric surgical adverse outcomes Journal of the American College of Surgeons 203 2006 625 633 (Pubitemid 44648773)
35. D.O. Warner Perioperative abstinence from cigarettes Anesthesiology 104 2006 356 367
36. J.S. Collins, H.J. Lemmens, and J.B. Brodsky Laryngoscopy and morbid obesity: a comparison of the "sniff" and "ramped" positions Obesity Surgery 14 2004 1171 1175 (Pubitemid 39458589)
37. J.D. Boyce, T. Ness, and P. Castroman A preliminary study of the optimal anesthesia positioning for the morbidly obese patient Obesity Surgery 13 2003 4 9 (Pubitemid 36250231)
38. B.J. Dixon, J.B. Dixon, and J.R. Carden Preoxygenation is more effective in the 25° head-up position than in the supine position in severely obese patients Anesthesiology 102 2005 1110 1115 (Pubitemid 40745828)
39. F.R. Altermatt, H.R. Munoz, and A.E. Delfino Pre-oxygenation in the obese patient: effects of position on tolerance to apnoea British Journal of Anaesthesia 95 2005 706 709 (Pubitemid 41613288)
40. S. Gander, P. Frascarolo, and M. Suter Positive end-expiratory pressure during induction of general anesthesia increases duration of nonhypoxic apnea in morbidly obese patients Anesthesia & Analgesia 100 2005 580 584 (Pubitemid 40170564)
41. J.M. Delay, M. Sebbane, and B. Jung The effectiveness of non invasive positive pressure ventilation to enhance preoxygenation in morbidly obese patients: A randomized controlled study Anesthesia & Analgesia 107 2008 1707 1713
42. A.A. El-Solh Clinical approach to the critically ill, morbidly obese patient American Journal of Respiratory and Critical Care Medicine 169 2004 557 561 (Pubitemid 38270890)
43. A.G. Kadar, C.H. Ing, and P.F. White Anesthesia for electroconvulsive therapy in obese patients Anesthesia & Analgesia 94 2002 360 361 (Pubitemid 34106829)
44. J.R. Maltby, S. Pytka, and N. Watson Drinking 300 ml of clear fluid two hours before surgery has no effect on gastric volume and pH in fasting and non-fasting obese patients Canadian Journal of Anesthesia 51 2004 111 115 (Pubitemid 38488894)
45. X. Combes, S. Sauvat, and B. Leroux Intubating laryngeal mask airway in morbidly obese and lean patients: a comparative study Anesthesiology 102 2005 1106 1109 (Pubitemid 40745827)
46. G. Dhonneur, S.K. Ndoko, and A. Yavchitz Tracheal intubation of morbidly obese patients: LMA Ctrach vs. direct laryngoscopy British Journal of Anaesthesia 97 2006 742 745 (Pubitemid 44593873)
47. J. Marrel, C. Blanc, and P. Frascarolo Videolaryngoscopy improves intubation condition in morbidly obese patients European Journal of Anaesthesiology 24 2007 1045 1049 (Pubitemid 350073497)
48. K. Stroumpoulis, A. Pagoulatou, and M. Violari Videolaryngoscopy in the management of the difficult airway: a comparison with the Macintosh blade European Journal of Anaesthesiology 26 2009 218 222
49. R. Maassen, L. Ruben, and H. Boukje A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces but does not replace routine stylet use for intubation in morbidly obese patients Anesthesia & Analgesia 109 2009 1560 1565
50. G. Dhonneur, W. Abdi, and S.K. Ndoko Video-assisted versus conventional tracheal intubation in morbidly obese patients Obesity Surgery 19 2009 1096 1101
51. K. Erlandsson, H. Odenstedt, and S. Lundin Positive end-expiratory pressure optimization using electric impedance tomography in morbidly obese patients during laparoscopic gastric bypass surgery Acta Anaesthesiologica Scandinavica 50 2006 833 839 (Pubitemid 44034234)
52. E.M. Strum, J. Szenohradszki, and W.A. Kaufman Emergence and recovery characteristics of desflurane versus sevoflurane in morbidly obese adult surgical patients: a prospective, randomized study Anesthesia & Analgesia 99 2004 1848 1853 (Pubitemid 39551934)
53. S.R. Arain, C.D. Barth, and H. Shankar Choice of volatile anesthetic for the morbidly obese patient: sevoflurane or desflurane Journal of Clinical Anesthesia 17 2005 413 419 (Pubitemid 41317986)
54. L.E.C. De Baerdemaeker, S. Jacobs, and N.M.M. Den Blauwen Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients Obesity Surgery 16 2006 728 733 (Pubitemid 43874827)
55. M.C. Vellejo, N. Sah, and A.L. Phelps Desflurane versus sevoflurane for laparoscopic gastroplasty in morbidly obese patients Journal of Clinical Anesthesia 19 2007 3 8 (Pubitemid 46282462)
56. Y. Leykin, T. Pellis, and E. Del Mestro Anesthetic management of morbidly obese and super-morbidly obese patients undergoing bariatric operations: hospital course and outcomes Obesity Surgery 16 2006 1563 1569 (Pubitemid 46032807)
57. M.T. Pawlik, E. Hansen, and D. Waldhauser Clonidine premedication in patients with sleep apnea syndrome: a randomized, double-blind, placebo-controlled study Anesthesia & Analgesia 101 2005 1374 1380 (Pubitemid 41531874)
58. J.M. Feld, W.E. Hoffman, and M.M. Stechert Fentanyl or dexmedetomidine combined with desflurane for bariatric surgery Journal of Clinical Anesthesia 18 2006 24 28 (Pubitemid 43330764)
59. B. Tufanogullari, P.F. White, and M.P. Peixoto Dexmedetomidine infusion during laparoscopic bariatric surgery: the effect on recovery outcome variables Anesthesia & Analgesia 106 2008 1741 1748
60. Y. Leykin, T. Pellis, and M. Lucca The effects of cisatracurium on morbidly obese women Anesthesia & Analgesia 99 2004 1090 1094 (Pubitemid 39287398)
61. Y. Leykin, T. Pellis, and M. Lucca The pharmacodynamic effects of rocuronium when dosed according to real body weight or ideal body weight in morbidly obese patients Anesthesia & Analgesia 99 2004 1086 1089 (Pubitemid 39287397)
62. A.E. Schwartz, R.S. Matteo, and E. Ornstein Pharmacokinetics and pharmacodynamics of vecuronium in the obese surgical patient Anesthesia & Analgesia 74 1992 515 518
63. J. Barrio, G. San Miguel, and I. Molina Clinical effect of mivacurium in morbidly obese patients Revista española de anestesiología y reanimación 53 2006 297 300
64. H.J. Lemmens, and J.B. Brodsky The dose of succinylcholine in morbid obesity Anesthesia & Analgesia 102 2006 438 442 (Pubitemid 43152592)
65. F. Servin, R. Farinotti, and J.P. Haberer Propofol infusion for maintenance of anesthesia in morbidly obese patients receiving nitrous oxide; a clinical and pharmacokinetic study Anesthesiology 78 1993 657 665 (Pubitemid 23110039)
66. T.D. Egan, B. Huizinga, and S.K. Gupta Remifentanil pharmacokinetics in obese versus lean patients Anesthesiology 89 1998 562 573 (Pubitemid 28423952)
67. G. Slepchenko, N. Simon, and B. Goubaux Performance of target-controlled sufentanil infusion in obese patients Anesthesiology 98 2003 65 73 (Pubitemid 36043411)
68. K. Shibutani, M.A. Inchiosa Jr., and K. Sawada Accuracy of pharmacokinetic models for predicting plasma fentanyl concentrations in lean and obese surgical patients: derivation of dosing weight ("pharmacokinetic mass") Anesthesiology 101 2004 603 613 (Pubitemid 39121639)
69. K. Shibutani, M.A. Inchiosa Jr., and K. Sawada Pharmacokinetic mass for fentanyl for postoperative analgesia in lean and obese patients British Journal of Anaesthesia 95 2005 377 383 (Pubitemid 41487352)
70. C.E. Edmiston, C. Krepel, and H. Kelly Perioperative antibiotic prophylaxis in the gastric bypass patient: do we achieve therapeutic levels? Surgery 136 2004 738 747 (Pubitemid 39311298)
71. V. Chalhoub, A. Yazigi, and G. Sleilaty Effect of vital capacity manoeuvres on arterial oxygenation in morbidly obese patients undergoing open bariatric surgery European Journal of Anaesthesiology 24 2007 283 288
72. F.X. Whalen, O. Gajic, and G.B. Thompson The effects of the alveolar recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery Anesthesia & Analgesia 102 2006 298 305 (Pubitemid 43038325)
73. H.F. Talab, I.A. Zabani, and H.S. Abdelrahman Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery Anesthesia & Analgesia 109 2009 1511 1516
74. H. Reinius, L. Jonsson, and S. Gustafsson Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis Anesthesiology 111 2009 979 987
75. V. Perilli, L. Sollazzi, and C. Modesti Comparison of positive end-expiratory pressure with reverse Trendelenburg position in morbidly obese patients undergoing bariatric surgery: effects on hemodynamics and pulmonary gas exchange Obesity Surgery 13 2003 605 609 (Pubitemid 36951742)
76. P. Thaisetthawatkul, M.L. Collazo-Clavell, and M.G. Sarr A controlled study of peripheral neuropathy after bariatric surgery Neurology 63 2004 1462 1470 (Pubitemid 39426282)
77. R. Schuster, R.S. Alami, and M.J. Curet Intra-operative fluid volume influences postoperative nausea and vomiting after laparoscopic gastric bypass surgery Obesity Surgery 16 2006 848 851 (Pubitemid 44133471)
78. C. Jensen, T. Tejirian, and C. Lewis Postoperative CPAP and BiPAP use can be safely omitted after laparoscopic Roux-en-Y gastric bypass Surgery for Obesity and Related Diseases 4 2008 512 514 (Pubitemid 352006165)
79. V. Squadrone, M. Coha, and E. Cerutti Continuous positive airway pressure for treatment of postoperative hypoxemia. A randomized controlled trial Journal of the American Medical Association 293 2005 589 595 (Pubitemid 40171241)
80. S. Huerta, S. DeShields, and R. Shpiner Safety and efficacy of postoperative continuous positive airway pressure to prevent pulmonary complications after Roux-en-Y gastric bypass Journal of Gastrointestinal Surgery 6 2002 354 358 (Pubitemid 40433539)
81. A. Ramirez, P.F. Lalor, and S. Szomstein Continuous positive airway pressure in the immediate postoperative period after laparoscopic Roux-en-Y gastric bypass: is it safe? Surgery for Obesity and Related Diseases 5 2009 544 546
82. T. Gaszynski, A. Tokarz, and D. Piotrowski Boussignac CPAP in the postoperative period in morbidly obese patients Obesity Surgery 17 2007 452 456 (Pubitemid 46850713)
83. P.J. Neligan, G. Malhotra, and M.W. Fraser Continuous positive airway pressure via the Boussignac system immediately after extubation improves lung function in morbidly obese patients with obstructive sleep apnea undergoing laparoscopic bariatric surgery Anesthesiology 110 2009 878 884
84. S. Isono, A. Tanaka, and T. Nishino Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea Anesthesiology 97 2002 780 785
85. R. Govindarajan, B. Ghosh, and M.K. Sathyamoorthy Efficacy of ketorolac in lieu of narcotics in the operative management of laparoscopic surgery for morbid obesity Surgery for Obesity and Related Diseases 1 2005 530 535
86. J.I. Kamelgard, K.A. Kim, and G. Atlas Combined preemptive and preventive analgesia in morbidly obese patients undergoing open gastric bypass: a pilot study Surgery for Obesity and Related Diseases 1 2005 12 16
87. A.K. Madan, C.A. Ternovits, and K.E. Speck Inpatient pain medication requirements after laparoscopic gastric bypass Obesity Surgery 15 2005 778 781 (Pubitemid 40904865)
88. R. Schumann, S. Shikora, and J.M. Weiss A comparison of multimodal perioperative analgesia to epidural pain management after gastric bypass surgery Anesthesia & Analgesia 96 2003 469 474 (Pubitemid 36125767)
89. D.R. Cottam, B. Fisher, and J. Atkinson A randomized trial of bupivacaine pain pumps to eliminate the need for patient controlled analgesia pumps in primary laparoscopic Roux-en-Y gastric bypass Obesity Surgery 17 2007 595 600 (Pubitemid 46945416)
90. J.M. Feld, C.E. Laurito, and M. Beckerman Non-opioid analgesia improves pain relief and decreases sedation after gastric bypass surgery Canadian Journal of Anesthesia 50 2003 336 341 (Pubitemid 36748631)
91. L. Solazzi, C. Modesto, and F. Vitale Preinductive use of clonidine and ketamine improves recovery and reduces postoperative pain after bariatric surgery Surgery for Obesity and Related Diseases 5 2009 67 71
92. B.S. von Ungern-Sternberg, A. Regli, and A. Reber Effect of obesity and thoracic epidural analgesia on perioperative spirometry British Journal of Anaesthesia 94 2005 121 127 (Pubitemid 40074920)
93. J.R. Rigg, K. Jamrozik, and P.S. Myles MASTER Anaesthesia Trial Study Group. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial Lancet 359 2002 1276 1282 (Pubitemid 34310632)
94. K.F. Montgomery, B.M. Watkins, and J.H. Ahroni Outpatient laparoscopic adjustable gastric banding in super-obese patients Obesity Surgery 17 2007 711 716 (Pubitemid 46999049)
95. K.C. Sasse, J.H. Ganser, and M.D. Kozar Outpatient weight loss surgery: initiating a gastric bypass and gastric banding ambulatory weight loss surgery center Journal of the Society of Laparoendoscopic Surgeons 13 2009 50 55
96. C. Cobourn, D. Mumford, and M.A. Chapman Laparoscopic gastric banding is safe in outpatient surgical centers Obesity Surgery 20 2010 415 422
97. E.H. Livingston The incidence of bariatric surgery has plateaued in the US American Journal of Surgery 2010 [Epub ahead of print]
98. M. Yeats, S. Wedergren, and N. Fox The use and modification of clinical pathways to achieve specific outcomes in bariatric surgery American Surgeon 71 2005 152 154 (Pubitemid 41725314)
99. A. Campillo-Soto, J.G. Martin-Lorenzo, and R. Liron-Ruiz Evaluation of the clinical pathway for laparoscopic bariatric surgery Obesity Surgery 18 2008 395 400
100. M.K. Mller, K.J. Dedes, and D. Dindo Impact of clinical pathways in surgery Langenbeck's Archives of Surgery 394 2009 31 39