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- Title
AANA Journal Course: Update for Nurse Anesthetists. Anesthesia Case Management for Bariatric Surgery.
- Authors
Thompson, Jennifer; Bordi, Sandra; Boytim, Michael; Elisha, Sass; Heiner, Jeremy; Nagelhout, John
- Abstract
An increasing number of bariatric surgeries are performed every year. A thorough understanding of the pathophysiologic changes, surgical procedure, and anesthesia case management for morbidly obese patients and of the pharmacology of weight-reduction and anesthetic drugs is essential to provide high- quality anesthetic care. The various comorbidities associated with obesity may complicate anesthetic management. Anesthetists must perform a thorough preoperative assessment to identify potential risk factors related to anesthesia and adequately prepare for intraoperative management. Intubation, maintenance of oxygenation, and pain management may be particularly challenging, and various strategies are presented. In addition, an obese patient is at higher risk for postoperative complications. Signs and symptoms of surgical complications may mimic medical complications, making diagnosis difficult.
- Subjects
ACTIVE oxygen in the body; ANESTHESIA; INTRAOPERATIVE monitoring; BARIATRIC surgery; HEALTH outcome assessment; PATIENT positioning; PREOPERATIVE care; STOMACH surgery; SURGICAL complications; SURGICAL therapeutics; TRACHEA intubation; WEIGHT loss; ANTIOBESITY agents; GASTRIC bypass; MORBID obesity; BODY mass index; SOCIAL services case management; TREATMENT effectiveness; CONTINUING education units; THERAPEUTICS
- Publication
AANA Journal, 2011, Vol 79, Issue 2, p147
- ISSN
0094-6354
- Publication type
Article