Enhanced Recovery after Bariatric Surgery in the Severely Obese, Morbidly Obese, Super-Morbidly Obese and Super-Super Morbidly Obese Using Evidence-Based Clinical Pathways: a Comparative Study

Obesity Surgery

Volumn 27, Issue 3, 2017, Pages 560-568

  Sinha, Aparna ^a   Jayaraman, Lakshmi ^a   Punhani, Dinesh ^a   Chowbey, Pradeep ^a  

^a MAX SUPER SPECIALITY HOSPITAL   (India)

Author keywords

Anesthetic; Bariatric; Enhanced; ERAS; Outcomes; Prehabilitation; Recovery; Super obesity; Super super obesity

Indexed keywords

ANESTHETIC AGENT; SUGAMMADEX; TRAMADOL;

ADULT; ANALGESIA; ARTICLE; BACKACHE; BARIATRIC SURGERY; BODY MASS; CEREBROVASCULAR ACCIDENT; CLINICAL PATHWAY; COMORBIDITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DISEASE SEVERITY; DYSPNEA; ENHANCED RECOVERY AFTER SURGERY; EVIDENCE BASED PRACTICE; FEMALE; HOSPITAL DISCHARGE; HUMAN; HYPOTENSION; HYPOXIA; INTENSIVE CARE UNIT; INTUBATION; LAPAROSCOPIC SURGERY; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; MORBID OBESITY; NEUROPATHY; OBESITY; OUTCOME ASSESSMENT; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE NAUSEA AND VOMITING; PRIORITY JOURNAL; PROSPECTIVE STUDY; RETROSPECTIVE STUDY; SEVERELY OBESITY; SUPER MORBIDLY OBESITY; SUPER SUPER MORBID OBESITY; SURGICAL PATIENT; TACHYCARDIA; THORAX PAIN; THROMBOSIS PREVENTION; AGED; COMPARATIVE STUDY; MIDDLE AGED; MORBIDITY; NONINVASIVE VENTILATION; ORGANIZATION AND MANAGEMENT; PATHOLOGY; PROCEDURES; REHABILITATION; TREATMENT OUTCOME;

ADULT; AGED; BARIATRIC SURGERY; BODY MASS INDEX; COMORBIDITY; CRITICAL PATHWAYS; FEMALE; HUMANS; MALE; MIDDLE AGED; MORBIDITY; NONINVASIVE VENTILATION; OBESITY, MORBID; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 84986302311     PISSN: 09608923     EISSN: 17080428     Source Type: Journal    
DOI: 10.1007/s11695-016-2366-y     Document Type: Article

References (34)

1. Kariv Y, Delaney CP, Senagore AJ, et al. Clinical outcomes and cost analysis of a “fast track” postoperative care pathway for ileal pouch-anal anastomosis: a case control study. Dis Colon rectum. 2007;50(2):137–46.
2. Varadhan KK, Lobo DN, Ljungqvist O. Enhanced recovery after surgery: the future of improving surgical care. Crit Care Clin. 2010;26:527–47.
3. Bamgbade OA, Adeogun BO, Abbas K. Fast-track laparoscopic gastric bypass surgery: outcomes and lessons from a bariatric surgery Service in the United Kingdom. Obes Surg. 2012;22:398–02.
4. Chaar M, Claros L, Ejeji G, et al. Improving outcome of bariatric surgery: best practices in an accredited surgical center. Obes Surg. 2014;24:1057–63.
5. Barreca M, Renzi C, Tankel J, et al. Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center. Surg Obes Relat Dis. 2016;12(1):119–26.
6. Waldhausen JH, Schirmer BD. The effect of ambulation on recovery from postoperative ileus. Ann Surg. 1990;212(6):671–7.
7. Delaney CP, Zutshi M, Senagore AJ, et al. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon rectum. 2003;46(7):851–9.
8. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108:812–21.
9. Mokhlesi B, Margaret D, Vekhter H, et al. Sleep-disordered breathing and postoperative outcomes after bariatric surgery: analysis of the nationwide inpatient sample. Obes Surg. 2013;23(11):1842–51.
10. Barbalho-Moulim MC, Miguel GP, Forti EM, et al. Effects of preoperative inspiratory muscle training in obese women undergoing open bariatric surgery: respiratory muscle strength, lung volumes, and diaphragmatic excursion. Clinics (Sao Paulo). 2011;66:1721–7.
11. Lemanu DP, Srinivasa S, Singh PP, et al. Optimizing perioperative care in bariatric surgery patients. Obes Surj. 2012;22:979–90.
12. Krenk L, Jennum P, Kehlet H. Sleep disturbances after fast-track hip and knee arthroplasty. Br J Anaesth. 2012;109(5):769–75.
13. Yue HJ, Guilleminault C. Opioid medication and sleep-disordered breathing. Med Clin North Am. 2010;94:435–46.
14. Casati A, Putzu M. Anesthesia in the obese patient: pharmacokinetic considerations. J Clin Anesth. 2005;17:134–45.
15. Bernards CM, Knowlton SL, Schmidt DF, et al. Respiratory and sleep effects of remifentanil in volunteers with moderate obstructive sleep apnea. Anesthesiology. 2009;110:41–9.
16. Sinha A, Jayaraman Punhani D. Efficacy of ultrasound guided TAP block for pain management after laparoscopic gastric bypass. Obes Surg. 2013;23:548–53.
17. Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2008;133:381S–53S.
18. Magee CJ, Barry J, Javed S, et al. Extended thromboprophylaxis reduces incidence of postoperative venous thromboembolism in laparoscopic bariatric surgery. Surg Obes Relat Dis. 2010;6:322–5.
19. Raftopoulos I, Martindale C, Cronin A, et al. The effect of extended post-discharge chemical thromboprophylaxis on venous thromboembolism rates after bariatric surgery: a prospective comparison trial. Surg Endosc. 2008;22:2384–91.
20. Jense HG, Dubin SA, Siverstein PI, et al. Effect of obesity on safe duration of apnea in anesthetized humans. Anesth Analg. 1991;72:89–93.
21. Eichenberger A, Proietti S, Wicky S, et al. Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg. 2002;95:1788–92.
22. Juvin P, Lavaut E, Dupont H, et al. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97:595–600.
23. Brodsky JB, Lemmens HJ, Brock-Utne JG, et al. Morbid obesity and tracheal intubation. Anesth Analg. 2002;94:732–6.
24. Gonzalez H, Minville V, Delanoue K, et al. The importance of increased neck circumference to intubation difficulties in obese patients. Anesth Analg. 2008;106:1132–6.
25. Coursa M, Proeitti S, Schnyder P, et al. Prevention of atelectasis formation during the induction of anesthesia in morbidly obese patients. Anesth Analg. 2004;98:1491–5.
26. Talab HF, Zabani IA, Abdelrahman HA, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg. 2009;109:1511–6.
27. Herriger A, Frascarolo P, Spahn DR, et al. The effect of positive airway pressure during pre-oxygenation and induction of anaesthesia upon duration of non-hypoxic apnoea. Anaesthesia. 2004;59:243–7.
28. Gander S, Frascarolo P, Suter M, et al. Positive end-expiratory pressure during induction of general anesthesia increases duration of nonhypoxic apnea in morbidly obese patients. Anesth Analg. 2005;100:580–4.
29. Bostanjian D, Anthone GJ, Hamoui N, et al. Rhabdomyolysis of gluteal muscles leading to renal failure: a potentially fatal complication of surgery in the morbidly obese. Obes Surg. 2003;13:302–5.
30. Szewczyk D, Ovadia P, Abdullah F, et al. Pressure induced rhabdomyolysis and acute renal failure. J Trauma. 1998;44:384–8.
31. Mognol P, Vignes SM, Chosidow D, et al. Rhabdomyolysis after laparoscopic bariatric surgery. Obes Surg. 2004;14:91–4.
32. Youssef T, Abd-Elaal I, Zakaria G, et al. Bariatric surgery: rhabdomyolysis after open roux-en-Y gastric bypass: a prospective study. Int J Surg. 2010;8:484–8.
33. Wool DB, Lemmens HJ, Brodsky JB, et al. Intraoperative fluid replacement and postoperative creatine phosphokinase levels in laparoscopic bariatric patients. Obes Surg. 2010;20:698–01.
34. Flegal KM, Graubard BI, Williamson DF, et al. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005;293:1861–7.