Propuesta de manejo anestésico para cirugía bariátrica del paciente adulto

Abstract

This research takes as a starting point that bariatric surgery has proven to be the most effective treatment for weight reduction and control of comorbidities in patients with morbid obesity, a condition with high worldwide prevalence and serious implications for public health. Currently, sleeve gastrectomy and Roux-en-Y gastric bypass are the most frequently performed procedures worldwide. The purpose of this review is to analyze the most current evidence to optimize patient safety and to produce a summary guide for the best anesthetic management. The methodology consists of a bibliographic review for which biomedical information is collected from databases such as Pudmed, Embase and Cochrane. Articles from peer-reviewed medical journals and international management guidelines published in the last 10 years were used. The conclusions are that adequate anesthetic management in bariatric surgery is essential to minimize risks and improve postoperative outcomes in patients with morbid obesity. It is essential to identify associated comorbidities in order to create an individualized anesthetic plan and minimize complications. Knowledge of the best evidence-based recommendations on pain management in bariatric surgery improves patient recovery and experience.

This research takes as a starting point that bariatric surgery has proven to be the most effective treatment for weight reduction and control of comorbidities in patients with morbid obesity, a condition with high worldwide prevalence and serious implications for public health. Currently, sleeve gastrectomy and Roux-en-Y gastric bypass are the most frequently performed procedures worldwide. The purpose of this review is to analyze the most current evidence to optimize patient safety and to produce a summary guide for the best anesthetic management. The methodology consists of a bibliographic review for which biomedical information is collected from databases such as Pudmed, Embase and Cochrane. Articles from peer-reviewed medical journals and international management guidelines published in the last 10 years were used. The conclusions are that adequate anesthetic management in bariatric surgery is essential to minimize risks and improve postoperative outcomes in patients with morbid obesity. It is essential to identify associated comorbidities in order to create an individualized anesthetic plan and minimize complications. Knowledge of the best evidence-based recommendations on pain management in bariatric surgery improves patient recovery and experience.