Les pièges pour l’anesthésiste en chirurgie bariatrique que le chirurgien doit connaître

Badaoui, R.; Popov, I; Dhahri, Abdennaceur; Regimbeau, J.-M.; Verhaeghe, Pierre; Dupont, Hervé

doi:10.1007/s11690-012-0338-5

Cited by 2 publications

(4 citation statements)

References 28 publications

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“…Rocuronium was the most widely used curare because of its ease of decurarisation with sugammadex, as other authors have found (33,34). Cisatracurium was widely used in Badaoui's study (6), in contrast to this study. Several studies have shown that there is no difference in muscle relaxation between rocuronium and cisatracurium (35) This study has the weakness of being monocentric, but confirms the high frequency of complications in bariatric surgery.…”

Section: Variablesmentioning

confidence: 55%

“…Propofol was the induction hypnotic for all patients because of its good kinetics as reported in other studies (6,25,26,27,28). However, Kirby suggests that the dose should be calculated on the basis of lean body mass and not actual weight, given the haemodynamic consequences of high doses (29).…”

Section: Variablesmentioning

confidence: 90%

“…Desflurane and sevoflurane are the volatile agents of choice for obese patients because of their low solubility in fat and therefore their lack of storage (3). Badaoui (6) in France in 2012 found that remifentanyl (63.4%) was used more than sufentanil (36.6%) in bariatric surgery. These results are contrary to those of our study, in which sufentanil was used in 94.8% of cases.…”

Section: Variablesmentioning

confidence: 99%

“…The indications for surgery are increasingly being extended to patients with a body mass index (BMI) of 30 to 34.9 kg/m 2 associated with complications such as type 2 diabetes, cardiovascular disease and respiratory disease (4,5). Regardless of the technique used, complications may arise during the anaesthetic management (6).…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with anaesthetic complications in bariatric surgery at the Delafontaine Saint-Dénis Hospital

Mbombo

2023

AJMCCR

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Background and objective. Anaesthesia during bariatric surgery is a high-risk procedure. This study investigated factors associated with anaesthetic complications in patients undergoing this type of surgery at Delafontaine hospital. Methods. This cross-sectional study was conducted at the Delafontaine Hospital from 01/01/2021 to 01/06/2022 in patients who underwent anaesthesia for bariatric surgery for all indications. Sociodemographic, clinical, anaesthetic and evolutionary data were collected and analysed with SPSS 25.0 using Student's t test, Pearson's Chi-square test or Fischer's exact test and logistic regression for p<0.05. Results. One hundred and thirty-five patients were enrolled. Females predominated (sex ratio M/F: 0.35). The mean age was 39.41 (range: 20 to 57 years). The median BMI was 43.25kg/m². All patients underwent surgery under general anaesthesia with tracheal intubation. Complications were present in 44% of patients: arterial hypotension (28.8%), difficult orotracheal intubation (28.1%), desaturation (22.9%), postoperative nausea and vomiting (16.2%), bronchospasm (7.4%), arterial hypertension (6.6%) and anaphylactic shock (3.3%). No deaths were recorded. Older age, the presence of comorbidities and Mallampati, Cormack and ASA scores ≥ 3 were associated with the occurrence of complications. Conclusion. The incidence of peri-anaesthetic complications in bariatric surgery is high in this series. Advanced age (> 40 years), the presence of comorbidities and Mallampati, Cormack and ASA scores ≥ 3 were associated with the occurrence of complications.

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