Use of critical care resources after laparoscopic gastric bypass: effect on respiratory complications

Shobary, Hanan El; Backman, Steven B.; Christou, Nicolas V.; Schricker, Thomas

doi:10.1016/j.soard.2008.02.003

Cited by 20 publications

(5 citation statements)

References 14 publications

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“…In the multi-centre study of Lehmann, the preventability of the events could not be evaluated with certainty in 52% of the cases [41]. Several studies warn that the review of each case via the medical records is hampered by the retrospective nature of the analysis, and by the dependence on the quality of note taking by anaesthetics, intensivists and nursing staff [30,33]. One particular difficulty that was mentioned was the lack of recording in the notes of the actual reason for admission to ICU.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and preventability of adverse events requiring intensive care admission: a systematic review

Vlayen

Verelst

Bekkering

et al. 2011

Evaluation Clinical Practice

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Adverse events are an important reason for (re)admission to the ICU and a considerable proportion of these are preventable. It was not possible to estimate an overall incidence and preventability rate of these events as we found considerable heterogeneity. To decrease adverse events that necessitate ICU admission, several systems are recommended such as early detection of patients with clinical instability on general wards and the implementation of rapid response teams. Step-down or intermediate care units could be a useful strategy for patients who require monitoring to avoid ICU readmissions. However, the effectiveness of such systems needs to be investigated.

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Section: Discussionmentioning

confidence: 99%

“…A A A C Y(1) Durbin and Kopel [32] A C C C N El Shobary et al [33] A B C C N Endacott et al [34] A B B C Y(1) Franklin and Jackson [35] A B B C N Gupta et al [36] A B C C Y(2) Haller et al [22,25] A B A A/B* Y(1) Hayes et al [37] A C A C Y(2) Heisler et al [38] A B C C Y(2) Kafy et al [39] A A C C N Kurowski and Sims [40] A…”

Section: Primary Outcomesmentioning

confidence: 99%

Incidence and preventability of adverse events requiring intensive care admission: a systematic review

Vlayen

Verelst

Bekkering

et al. 2011

Evaluation Clinical Practice

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“…No observational evidence directly addressing the question was found. Meta-analysis of observational studies suggested that patients with obstructive sleep apnea or related disorders were more likely to sustain atrial fibrillation (OR 1.51, 95% CI 1.36 to 1.69) or hypoxemia (WMD − 3.8%, 95% CI − 5.4% to − 2.2%) [45][46][47][48][49][50][51][52][53][54][55][56][57][58][59]. The latter outcome might not be clinically important, whereas the summary certainty in the evidence was very low due to risk of bias (non-controlled confounders in cohort studies), imprecision, statistical and conceptual heterogeneity (differences in definition of sleep apnea and method of diagnosis) (Supplementary Table 6).…”

Section: Justificationmentioning

confidence: 99%

Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

et al. 2020

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Background Surgery for obesity and metabolic diseases has been evolved in the light of new scientific evidence, long-term outcomes and accumulated experience. EAES has sponsored an update of previous guidelines on bariatric surgery. Methods A multidisciplinary group of bariatric surgeons, obesity physicians, nutritional experts, psychologists, anesthetists and a patient representative comprised the guideline development panel. Development and reporting conformed to GRADE guidelines and AGREE II standards. Results Systematic review of databases, record selection, data extraction and synthesis, evidence appraisal and evidence-todecision frameworks were developed for 42 key questions in the domains Indication; Preoperative work-up; Perioperative management; Non-bypass, bypass and one-anastomosis procedures; Revisional surgery; Postoperative care; and Investigational procedures. A total of 36 recommendations and position statements were formed through a modified Delphi procedure. and Other Interventional Techniques Disclaimer This clinical practice guideline has been developed under the auspice of the European Association for Endoscopic Surgery (EAES). It is intended to be used primarily by health professionals (e.g. surgeons, anesthetists, physicians) and to assist in making informed clinical decisions on diagnostic measures and therapeutic management. It is also intended to inform individual practice of allied health professionals (e.g. surgical nurses, dietitians, physical rehabilitation therapists, psychologists); to inform strategic planning and resource management by healthcare authorities (e.g. regional and national authorities, healthcare institutions, hospital administration authorities); and to inform patients wishing to obtain an overview of the condition of interest and its management. The use of recommendations contained herein must be informed by supporting evidence accompanying each recommendation and by research evidence that might not have been published by the time of writing the present document. Users must thus base their actions informed by newly published evidence at any given point Electronic supplementary material The online version of this article (

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“…Initially, patients are kept "nil by mouth" and subsequently commenced on clear liquids and then advanced to a high-protein liquid diet. Limiting intensive care admission to patients with a BMI >60 and severe OSA do not show any significant increase in the overall incidence of postoperative respiratory complications or length of hospital stay [23].…”

Section: Peri-operative Carementioning

confidence: 79%

Surgery for the obese

Amjad¹

2014

Sri Lanka j Surg

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This review focuses on the problem of obesity from an Asian perspective and the current evidence that supports the benefits of bariatric surgery over conventional treatment for sustained weight loss. The requirements for an effective bariatric surgical service are highlighted. Principles of peri-operative management and the currently practiced operative procedures are discussed briefly. Finally a short evaluation of the benefits and complication of the different procedures are presented.3

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Use of critical care resources after laparoscopic gastric bypass: effect on respiratory complications

Cited by 20 publications

References 14 publications

Incidence and preventability of adverse events requiring intensive care admission: a systematic review

Incidence and preventability of adverse events requiring intensive care admission: a systematic review

Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP

Surgery for the obese

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