Anesthetic Aspects of Bariatric Surgery–

Anesthetic Aspects of Bariatric Surgery–NEW COLUMN! | Bariatric Times
Dr. Robert Rutledge, a surgeon from Las Vegas, Nevada who has performed over 3,000 mini-gastric bypass procedures, gave his views and experiences on the analgesic roles of ketamine and dexmedetomidine. This talk stimulated a discussion surrounding the fact that in treating his patients, his team does not administer further muscle relaxants after induction. During the discussion, Dr. Rutledge attributed the median length of stay of one day for mini-gastric bypass surgery to excellent anesthesia, but his report of more than 200 same-day discharges in recent years shows what can potentially be achieved. The discussion made apparent the huge variation worldwide in availability of many analgesic adjuncts and the need for hard data from well-designed studies to identify the real benefit.


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