Key result
Comprehensive perioperative and anesthetic management reduces mortality and complication risks in bariatric surgery.
Why the study?
Bariatric surgery is considered high risk, and understanding predictors of perioperative and postoperative outcomes is essential to improve patient management.
What are the predictors of outcomes and complications in bariatric surgery and anesthesia?
What are the predictors of outcomes and complications in bariatric surgery and anesthesia?
Careful planning and comprehensive perioperative management are essential to reduce the risk of perioperative mortality in bariatric surgery.
Answers are grounded in this paper and cite their sources.
Supports perioperative optimization in bariatric surgery; leaves open the need for prospective trials to confirm mortality benefit.
ObjectiveThe aim of this study was to assess the perioperative and postoperative complications and predictors of outcomes in bariatric surgery and anesthesia.Materials and methodsWe reviewed papers on the predictors of outcomes in bariatric surgery and anesthesia from Medline databases, which are PubMed, Medscape, Science Direct, and EMF-Portal, and all materials available in the internet up to 2017. The initial search presented articles that studied the predictors of outcomes in bariatric surgery and anesthesia. If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls mentioned, and adequate information provided and assessment measures defined. Significant data were collected. Thus, a structured review was performed.FindingsResults showed that bariatric surgery is considered high risk, but careful planning, preoperative risk assessment, adequate anesthetic management, strict venothrombotic event prevention, and effective postoperative pain control will all help to reduce the risk.ConclusionCareful planning, preoperative risk assessment, adequate anesthetic management, strict venothrombotic event prevention, and effective postoperative pain control will all help to improve outcomes and reduce the risk of perioperative mortality.
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Alhanouny et al. (2019) conducted a review in Bariatric surgery. Bariatric surgery and anesthesia was evaluated on Perioperative and postoperative complications and predictors of outcomes. Careful planning, preoperative risk assessment, adequate anesthetic management, and effective pain control help reduce the risk of perioperative mortality in bariatric surgery.
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