Bariatric Surgery Patients

Bariatric Surgery Patients is a topic covered in the Pocket ICU Management.

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Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

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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