Quality of Recovery Following Opioids Free Anaesthesia in Laparoscopic Sleeve Gastrectomy

Conditions:   Narcotics;   Recovery Quality;   Analgesia;   Bariatric Surgery Interventions:   Drug: Fentanyl;   Drug: Ketamine;   Drug: Dexmedetomidine Injection [Precedex];   Procedure: Oblique subcostal transversus abdominis plane block;   Drug: Lidocaine Sponsor:   Al Mashfa Medical Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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ConclusionsSuper morbidly obese patients required fewer opioids and analgesics perioperatively. They exhibited higher comorbidities with greater anaesthesia time and ICU admissions. PACU stay time and pain scores were comparable.
Source: Obesity Surgery - Category: Surgery Source Type: research
In this study, we examined the effect of laparoscopic-guided transversus abdominis plane block (LG TAP) for further optimizing multimodal pain control.MethodsThis is a retrospective analysis of a prospectively collected database of 140 consecutive patients undergoing LSG without TAP block (pre-TAP group) compared to 131 patients undergoing LSG with LGTAP (TAP group). All operations were performed laparoscopically utilizing uniform clinical pathways. Baseline characteristics for both groups were comparable. Both groups received standardized anesthesia. Outcomes included time to postoperative ambulation, pain scores, PCA vol...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsIntracorporeal anastomosis using linear staplers reduced anastomotic bleeding and stenosis compared to extracorporeal anastomosis after LTG. Future research will be required to determine the ideal method for intracorporeal anastomosis in LTG.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Abstract The worldwide obesity epidemic has led to an increase in the number of bariatric procedures for treatment. Currently, the most commonly performed bariatric surgical operation in the United States is the laparoscopic sleeve gastrectomy (LSG). The risk of postoperative nausea and vomiting (PONV) is exceptionally high following the LSG: as much as 65%. Anesthesia providers should be mindful of this elevated risk and stay up to date on evidence-based techniques that help to mitigate the incidence of PONV related to this specific procedure. The purposes of this clinical review are to increase provider awarenes...
Source: AANA Journal - Category: Anesthesiology Authors: Tags: AANA J Source Type: research
AbstractBackgroundPreoperative nutritional assessment of cancer patients is important to reduce postoperative complications. Several studies have reported the Geriatric Nutritional Risk Index (GNRI) to be useful in assessing underlying diseases and long-term outcomes of hospitalized patients. The present study aimed to evaluate the impact of preoperative GNRI on short- and long-term outcomes in elderly gastric cancer patients who underwent laparoscopic gastrectomy.MethodsWe retrospectively reviewed consecutive patients aged  ≥ 65 years who underwent laparoscopy-assisted gastrectomy and had R0 resectio...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Conclusion: Through this study, we can conclude that laparoscopic sleeve gastrectomy surgery can be considered a safe procedure. However, further studies with a large sample size and a more robust methodology are needed to build upon the findings of this study.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Conditions:   Narcotics;   Recovery Quality;   Analgesia;   Bariatric Surgery Interventions:   Drug: Fentanyl;   Drug: Ketamine;   Drug: Dexmedetomidine Injection [Precedex];   Procedure: Oblique subcostal transversus abdominis plane block;   Drug: Lidocaine Sponsor:   Al Mashfa Medical Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Obesity;   Postoperative Pain;   Postoperative Nausea;   Postoperative Vomiting;   Opioid Use Interventions:   Drug: Dexmedetomidine Hydrochloride [Dexdor];   Drug: Remifentanil [Ultiva];   Drug: Ketamine [Ketalar];   Drug: Lidocaine [Xylocaine 2%];   Drug: Magnesium Sulphate [Inj. Magnesii Sulfurici Polpharma];   Drug: Fentanyl [Fentanyl WZF] Sponsor:   Medical University of Warsaw Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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