Bariatric Surgery Patients
First Things First (assess & treat for the following)
- These are not general surgery patients.
- They have little reserve.
- They can get very sick, very quickly.
- Often exhibit very subtle signs and symptoms of serious problems
- Prepare for challenges with
- Difficult airways
- Line access
- Barriers to diagnostic tests
- Tachycardia of >120 beats/min for >4 hours means anastomotic leak until proven otherwise in the early postop period.
- Contact pt’s bariatric surgeon early to obtain history and surgical details.
- Obtain surgical consult early, preferably surgeon with bariatric surgery experience.
- The majority of life-threatening postop events will be surgical in nature and must be ruled out first, even if that means re-operation.
- Most common surgical complications are leak, obstruction and bleeding.
- Radiologic tests to rule out leaks are only 70% sensitive.
- These patients are at risk for thiamine deficiency, so give thiamine and MVI prior to glucose.
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Last updated: April 13, 2010
"Bariatric Surgery Patients." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534064/all/Bariatric_Surgery_Patients.
Bariatric Surgery Patients. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534064/all/Bariatric_Surgery_Patients. Accessed June 4, 2023.
Bariatric Surgery Patients. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534064/all/Bariatric_Surgery_Patients
Bariatric Surgery Patients [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2023 June 04]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534064/all/Bariatric_Surgery_Patients.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Bariatric Surgery Patients ID - 534064 Y1 - 2010/04/13/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534064/all/Bariatric_Surgery_Patients PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -