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Anesthesia Management and Difficult Intubation Evaluations in Laparoscopic Sleeve Gastrectomy Cases

机译:腹腔镜袖胃切除术病例的麻醉管理和难插管评估

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Anesthesia Management and Difficult Intubation Evaluations in Laparoscopic Sleeve Gastrectomy Cases Arzu Esen tekeli sup1/sup, Esra Eker sup2/sup, Mehmet Kadir Bart?n sup3/sup, Muzaffer ?nder ?ner sup3/sup sup1/supAnesthesiology Department Yuzuncu Yil University, Faculty of Medicine, Van,Turkey sup2/supAnesthesiology Department, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey sup3/supVan Educational and Research Hospital, Department of General Surgery Van,Turkey INTRODUCTION: 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 anaesthetist. In this study we aimed to evaluate difficult tracheal intubation and anesthesia mangement for obese patients. METHODS: This study included 60 patients who had undergone sleeve gastrectomy between July 2012 and July 2017. We recorded gender, age, and body mass index (BMI) at the time of LSG, intraoperative incident, presecence comorbidities duration of surgery, length of ICU admission. RESULTS: The relation of weight with difficult intubation was statistically significant, but it was not correlated with height and body 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 these patients. DISCUSSION AND CONCLUSION: Airway management and anesthesia of laparoscopic sleeve gastrectomy. In this retrospective study, it was determined that 28% of patients had laparoscopic sleeve gastrectomy and intubation difficulty was independent of body mass index. more extensive studies should be done to demonstrate the specific.
机译:腹腔镜袖胃切除术病例的麻醉管理和插管困难评估Arzu Esen tekeli 1 ,Esra Eker 2 ,Mehmet Kadir Bart?n 3 ,Muzaffer? nder?ner 3 1 麻醉学系Yuzuncu Yil大学,医学院,范,土耳其 2 麻醉科,Siyami Ersek博士胸腔和心血管外科土耳其伊斯坦布尔中心, 3 范教育与研究医院,土耳其普外科普通科简介:肥胖是世界范围内快速发展的健康状况,对生活质量和寿命产生负面影响。病态肥胖患者的麻醉被认为是麻醉师的真正挑战。在这项研究中,我们旨在评估肥胖患者的困难气管插管和麻醉情况。方法:本研究包括2012年7月至2017年7月间接受袖胃切除术的60例患者。我们记录了LSG时的性别,年龄和体重指数(BMI),术中事件,术前合并症持续时间,ICU时间入场。结果:体重与插管困难的关系具有统计学意义,但与身高和体重指数无关。发现体重和BMI与颈部延伸限制有统计学意义。这些患者大多看到了困难的插管病例。讨论与结论:腹腔镜袖式胃切除术的气道管理和麻醉。在这项回顾性研究中,确定有28%的患者进行了腹腔镜袖胃切除术,并且插管困难与体重指数无关。应该做更广泛的研究以证明其具体性。

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