Obesity surgery
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Observational Study
Perioperative Analgesia for Fast-Track Laparoscopic Bariatric Surgery.
Postoperative pain and analgesia present challenges in bariatric surgery patients. Multimodal analgesia may provide better efficacy, less complications and expedite fast-track bariatric surgical care. There are no studies of the broader topic of perioperative analgesia and the overall impact. This study highlights the impact of multimodal intraoperative analgesia on fast-track bariatric surgery. ⋯ Multimodal intraoperative analgesia provides better postoperative analgesia, less complications and better perioperative outcomes and facilitates fast-track bariatric surgical care. Tramadol is suitable, efficacious and safe and associated with the best perioperative outcomes in bariatric surgery patients.
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Compared to healthy individuals, obese have significantly higher systolic and diastolic blood pressure, mean arterial pressure, heart rate, and cardiac output. The aim of this study was to evaluate cardiovascular hemodynamic changes before and 3 months after bariatric surgery. ⋯ Eighty subjects were included in this study, respectively, 56 obese patients scheduled for bariatric surgery and 24 healthy individuals. Baseline hemodynamic measurements showed significant differences in cardiac output (6.5 ± 1.6 versus 5.7 ± 1.6 l/min, p = 0.046), mean arterial pressure (107 ± 19 versus 89 ± 11 mmHg, p = 0.001), systolic (134 ± 24 versus 116 ± 18 mmHg, p = 0.001) and diastolic blood pressure (89 ± 17 versus 74 ± 10 mmHg, p = 0.001), and heart rate (87 ± 12 versus 76 ± 14 bpm, p = 0.02) between obese and healthy subjects. Three months after surgery, significant changes occurred in mean arterial pressure (89 ± 17 mmHg, p = 0.001), systolic (117 ± 24 mmHg, p = 0.001) and diastolic blood pressure (71 ± 15 mmHg, p = 0.001), stroke volume (82.2 ± 22.4 ml, p = 0.03), and heart rate (79 ± 17 bpm, p = 0.02) CONCLUSIONS: Three months after bariatric surgery, significant improvements occur in hemodynamic variables except cardiac output and cardiac index, in the patient group.