16 KB104 KB12 KB200520132007Kasnik, DarjaUranjek, Jasnaletnik:12številka:286 stranistr. 109-114ISSN:1318-8941COBISSID:23459545URN:URN:NBN:SI:doc-PUSRSBCSslSlovensko zdravniško društvoEndoskopska revijaanestezijabariatrična kirurgijalaparoskopijaAnesteziološke posebnosti laparoskopske bariatrične kirurgije| initial experience| naše prve izkušnje| Specifics of anaesthesia for laparoscopic bariatric surgery|Background. Obesity and its associated comorbidities put the patient undergoing bariatric surgery at increased risk for anaesthesia-related complications.Methods. Forty-two anaesthesia charts of morbidly obese patientssubjected to laparoscopic bariatric surgery were analysed retrospectively with a special attention being given to respiratory function tests. Results. Preoperative anaesthesiologic examination revealed one to several coexisting conditions in 69 % of all patients. Average vital capacity (VC) before the operation was 98. 36 % of the predicted value; arterial blood gas analyses were normal. Severe long-term anaesthesia-related complications or prolonged awakening from anaesthesia were not recorded. The postoperative VC was on average 29.50 % lower than the preoperative value. There was a statistically significant increase (p<0. 05) in postoperative pCO2 levels, however without clinical manifestations. Conclusions. From the anaesthesiological point of view, a bariatric patient needs appropriate preoperative evaluation, intense intraoperative monitoring, optimal anaesthesiological medication and proper postoperative care with optimal analgesiaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo, Združenje za endoskopsko kirurgijo