ANESTHESIA AND PAIN MANAGEMENT IN BARIATRIC SURGERIES

Authors

  • Elis Miranda Mau Godinho Universidade Anhembi Morumbi – UAM
  • Ana Beatriz Tavares Santana Estudante de medicina - UPE
  • Thayná Campagnolo Muniz UAM-Universidade Anhembi Morumbi
  • Leandro Aparecido Irrazabal Médico - UNIPAMPA
  • Bruno Marinho Gonçalves Médico-UFT
  • Neldy Gollub Gomes Miranda ⁠ MÉDICA Faculdade de saúde e ecologia humana-FASEH
  • Otávio Margon Médico pela Universidade do Planalto Catarinense - UNIPLAC
  • Rafaella Luizetto Davanço MÉDICA (UNIFRAN- Universidade de Franca)
  • Thiago Maio Bandeira Médico - Universidade do Estado do Amazonas (UEA)
  • Mariana Alves Vasconcelos dos Santos Médica - UNICEPLAC (Centro Universitário do Planalto Central Apparecido dos Santos)
  • Aline Cristina da Silva Duarte Médica: PUCMG (Pontifícia Universidade Católica de Minas Gerais - Campus Betim)
  • Vitória Alagia Ripari Médica: PUC MG (Pontifícia Universidade Católica de Minas Gerais - Campos Betim)
  • Murilo Rezende Paula Graduando do 12° período de medicina : UNIFRAN (Universidade de Franca, SP)
  • Bárbara Cirilo de Sá Coscia Médica pelo UNICEPLAC

DOI:

https://doi.org/10.36557/2674-8169.2024v6n7p1910-1926

Keywords:

Bariatric Surgery, Anesthesia, Pain.

Abstract

Proper management of anesthesia and pain in bariatric surgeries is essential for the success of the procedure and the patient's well-being. These surgeries, aimed at treating morbid obesity, present specific challenges due to the characteristics of the patients, who often have associated comorbidities. Therefore, a careful anesthetic approach and an effective pain control strategy are essential to minimize intraoperative risks and postoperative complications, promote faster recovery, and improve patients' quality of life. Objective: Identify best anesthetic and pain control practices to improve safety, efficacy and clinical outcomes in patients undergoing bariatric surgery. Methodology: The Cochrane, Scielo and Medline databases were used, searching for articles published between 2018 and 2024, in Portuguese or English. Final Considerations: Anesthesia and pain management in bariatric surgeries is vital for patient safety and comfort. Therefore, the combination of general anesthesia with regional blocks can reduce respiratory and cardiovascular risks. Furthermore, efficient postoperative pain control, through the combined use of opioid and non-opioid analgesics, accelerates recovery and reduces complications. Therefore, customizing these approaches according to patients' individual characteristics is crucial to optimize results and improve quality of life postoperatively.

Downloads

Download data is not yet available.

References

BRITO, R. M. DE et al. Tranexamic acid effects in postoperative bleeding outcomes in laparoscopic sleeve gastrectomy: a controlled study. Acta Cirúrgica Brasileira, v. 37, n. 7, 2022.

DEMIREL, I. et al. Effect of Patient State Index Monitoring on the Recovery Characteristics in Morbidly Obese Patients: Comparison of Inhalation Anesthesia and Total Intravenous Anesthesia. Journal of PeriAnesthesia Nursing, v. 36, n. 1, p. 69–74, fev. 2021.

FATHI, M. et al. The effects of doxapram on time to tracheal extubation and early recovery in young morbidly obese patients scheduled for bariatric surgery. European Journal of Anaesthesiology, v. Publish Ahead of Print, 12 dez. 2019.

FARANAK ROKHTABNAK et al. Comparison of the Onset of Action, Maintenance, and Recovery of Three Weight-based Dosing of Cisatracurium in Patients with Morbid Obesity in Laparoscopic Bariatric Surgery: A Randomized Clinical Trial. PubMed, v. 48, n. 6, p. 563–571, 1 nov. 2023.

FREIRE, L. et al. Intraoperative, sociodemographic, and postoperative parameters in individuals undergoing bariatric surgery. Revista Da Associacao Medica Brasileira, v. 69, n. 11, 1 jan. 2023.

MOWAFI, M. M.; MARWA A. K. ELBEIALY; RASHA GAMAL ABUSINNA. Effect of magnesium sulfate on oxygenation and lung mechanics in morbidly obese patients undergoing bariatric surgery: a prospective double-blind randomized clinical trial. Korean journal of anesthesiology, v. 76, n. 6, p. 617–626, 1 dez. 2023.

PEREZ, J. J. et al. Effect of an opioid-free anesthetic on postoperative opioid consumption after laparoscopic bariatric surgery: a prospective, single-blinded, randomized controlled trial. Reg Anesth Pain Med, 2024.

ŞÜKRÜ ÜMIT YAŞAR; ASLI METE YILDIZ. Comparison of opioid and opioid-free anesthesia in bariatric surgery. The annals of clinical and analytical medicine, v. 14, n. 09, p. 825–829, 1 jan. 2023.

SILVA, L. M. DA et al. Comparative analysis of remifentanil versus dexmedetomidine in the incidence of pain in a post-anesthesia care unit after bariatric surgery. Brazilian Journal Of Pain, v. 1, n. 3, 2018.

YANG, T. et al. The effects of esketamine on blood pressure and hypotension incidence during induction of bariatric surgery: A randomized controlled trial. Medicine, v. 102, n. 51, p. e36754–e36754, 22 dez. 2023.

Downloads

Published

2024-07-20

How to Cite

Godinho, E. M. M., Santana, A. B. T., Muniz , T. C., Irrazabal , L. A., Gonçalves, B. M., Miranda, N. G. G., Margon, O., Davanço, R. L., Bandeira , T. M., Santos , M. A. V. dos, Duarte , A. C. da S., Ripari , V. A., Paula , M. R., & Coscia , B. C. de S. (2024). ANESTHESIA AND PAIN MANAGEMENT IN BARIATRIC SURGERIES. Brazilian Journal of Implantology and Health Sciences, 6(7), 1910–1926. https://doi.org/10.36557/2674-8169.2024v6n7p1910-1926

Issue

Vol. 6 No. 7 (2024): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807

Section

Literature Review

License

Copyright (c) 2024 Elis Miranda Mau Godinho, Ana Beatriz Tavares Santana, Thayná Campagnolo Muniz , Leandro Aparecido Irrazabal , Bruno Marinho Gonçalves, Neldy Gollub Gomes Miranda, Otávio Margon, Rafaella Luizetto Davanço, Thiago Maio Bandeira , Mariana Alves Vasconcelos dos Santos , Aline Cristina da Silva Duarte , Vitória Alagia Ripari , Murilo Rezende Paula , Bárbara Cirilo de Sá Coscia

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors are copyright holders under a CCBY 4.0 license.