Anesthesia Management in Laparoscopic Sleeve Gastrectomy Cases

Abstract

Obesity is a rapidly growing health condition worldwide and negatively affects the quality and duration of life. Anesthesia for morbidly obese patients is considered to be a real challenge to the anesthetist. In this study we aimed to evaluate difficult tracheal intubation and anesthesia management for obese patients. This study included 60 patients who had undergone laparascopic sleeve gastrectomy (LSG) between July 2012 and July 2017.We recorded gender, age, and body mass index (BMI) at the time of LSG, intraoperative incident, comorbidities, length of intensive care unit (ICU) admission. The relation of weight with difficult intubation was statistically significant, but it was not correlated with height and bod y mass index. Weight and BMI were found to have a statistically significant relationship with neck extension limitation. Difficult cases of intubation were seen mostly by 28% of patients. In this retrospective study, it was determined that laparoscopic sleeve gastrectomy and intubation difficulty was independent of body mass index. More extensive studies should be done to demonstrate the specific airway management and anesthesia of laparoscopic sleeve gastrectomy. © 2019, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.