By Daniel M. Herron
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66. 67. 68. 29 in morbidly obese patients with and without obstructive sleep apnea undergoing laparoscopic bariatric surgery. Anesth Analg. 2008;107(1):138–43. Taenzer AH, Pyke JB, McGrath SP, Blike GT. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-and-after concurrence study. Anesthesiology. 2010;112(2):282–7. Ireland CJ, Chapman TM, Mathew SF, Herbison GP, Zacharias M. Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery.
Early complications, related to the commonly performed bariatric procedures, have been described in the chapter along with description of their presentation, work-up, prevention, and management. A. J. 1 Introduction Since the National Institutes of Health (NIH) consensus conference over two decades ago, bariatric surgery has undergone remarkable progress and is now established as the only durable treatment for morbid obesity and its associated comorbidities . Increasing experience and expertise in laparoscopic techniques have contributed to a signiﬁcant decrease in morbidity and mortality associated with open bariatric procedures while achieving comparable weight loss results.
Awake ﬂexible ﬁber-optic laryngoscopy remains the gold standard for managing difﬁcult airways. The patient with a history of failed intubation, upper airway abnormality, or with an expected difﬁcult intubation from another cause may beneﬁt from an awake ﬁber-optic intubation. Awake ﬁber-optic intubation requires an experienced operator. Proper topical anesthesia and careful sedation is key for success. 7 Extubation A thorough evaluation of readiness for extubation must be performed at the conclusion of the anesthetic.
Bariatric Surgery Complications and Emergencies by Daniel M. Herron