Sugammadex Reduces Postoperative Pain After Laparoscopic Bariatric Surgery: A Randomized Trial

Background:Morbid obese (MO) population is increasing every year worldwide, and laparoscopic bariatric surgery (LBS) has a central role in their treatment. The postoperative period of MO is not free from complications. The introduction of sugammadex has brought huge developments in patient’s safety and nowadays LBS is performed with better care and quality. However, the effect of this agent in postoperative pain is still unknown. Materials and Methods:A controlled trial enrolling 88 MO submitted to LBS under general anesthesia using muscle relaxation, randomly assigned into 2 groups: one received sugammadex (SUG group) at the end of surgery and the other neostigmine (NEO group). In the postanesthetic care unit (PACU), we evaluated pain using the visual analogue scale in 4 different moments: arrival in the PACU, 30 minutes after arrival, 60 minutes after arrival, and immediately before leaving the PACU. We also recorded the presence of postoperative nausea and vomits (PONV) and the duration of the PACU stay before discharge to the ward. Results:Forty-four patients received sugammadex and 44 received neostigmine. We found lower visual analogue scale pain scores in the SUG group at 30 and 60 minutes after arriving to the PACU (P
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Category: Surgery Tags: Original Articles Source Type: research