By Daniel M. Herron
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Extra info for Bariatric Surgery Complications and Emergencies
Instead of conventional qualitative train-of-four monitoring, intraoperative acceleromyography monitoring reduces the incidence of residual blockade and respiratory complications in the post anesthesia care unit . Hypothermia has been associated with several perioperative complications, including wound infection, cardiac events, immune dysfunction, coagulopathy, and increased blood loss . Body temperature should be measured during all bariatric operations. Forced air warming can be used to maintain normothermia intraoperatively.
Obes Surg. 2014;24(4): 652–9. Feld JM, Laurito CE, Beckerman M, Vincent J, Hoffman WE. Non-opioid analgesia improves pain relief and decreases sedation after gastric bypass surgery. Can J Anaesth. 2003;50(4):336–41. 37. Govindarajan R, Ghosh B, Sathyamoorthy MK, Kodali NS, Raza A, Aronsohn J, et al. Efﬁcacy of ketorolac in lieu of narcotics in the operative management of laparoscopic surgery for morbid obesity. Surg Obes Relat Dis. 2005;1(6):530–5. discussion 5–6. 38. Ding Y, White PF. Comparative effects of ketorolac, dezocine, and fentanyl as adjuvants during outpatient anesthesia.
1992;75(4):566–71. 39. Sasse KC, Ganser J, Kozar M, Watson RW, McGinley L, Lim D, et al. Seven cases of gastric perforation in Roux-en-Y gastric bypass patients: what lessons can we learn? Obes Surg. 2008;18(5):530–4. 40. Remy C, Marret E, Bonnet F. Effects of acetaminophen on morphine side-effects and consumption after major surgery: meta-analysis of randomized controlled trials. Br J Anaesth. 2005;94(4):505–13. 41. Tufanogullari B, White PF, Peixoto MP, Kianpour D, Lacour T, Grifﬁn J, et al. Dexmedetomidine infusion during laparoscopic bariatric surgery: the effect on recovery outcome variables.
Bariatric Surgery Complications and Emergencies by Daniel M. Herron