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Section 5 - Post-operative Care

Published online by Cambridge University Press:  24 September 2018

Edited by
Christopher Bouch  and
Jonathan Cousins
Christopher Bouch
Affiliation:
Leicester Royal Infirmary
Jonathan Cousins
Affiliation:
Hammersmith Hospital
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Core Topics in Anaesthesia and Peri-operative Care of the Morbidly Obese Surgical Patient , pp. 169 - 200
Publisher: Cambridge University Press
Print publication year: 2018

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References

Further Reading

Adesanya, AO, Lee, W, Greilich, NB, et al. Perioperative management of obstructive sleep apnea. Chest. 2010;138:1489–98.Google Scholar
American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Anesthesiology. 2014;120:268–86.Google Scholar
Bellamy, MC, Margarson, MP Designing intelligent anesthesia for a changing patient demographic: a consensus statement to provide guidance for specialist and non-specialist anesthetists written by members of and endorsed by the Society for Obesity and Bariatric Anaesthesia (SOBA). Periop Med. 2013;2:12.Google Scholar
Carron, M, Parotto, E, Ori, C The use of sugammadex in obese patients. Canadian Journal of Anesthesia. 2012;59:321–2.CrossRefGoogle ScholarPubMed
Carron, M, Zarantonello, F, Tellaroli, P, et al. Efficacy and safety of sugammadex compared to neostigmine for reversal of neuromuscular blockade: a meta-analysis of randomized controlled trials. J Clin Anesth. 2016;35:1–12.Google Scholar
Carron, M, Zarantonello, F, Tellaroli, P, et al. Perioperative noninvasive ventilation in obese patients: a qualitative review and meta-analysis. Surg Obes Rel Dis. 2016;12:681–91.CrossRefGoogle ScholarPubMed
Cavallone, LF, Vannucci, A Review article: Extubation of the difficult airway and extubation failure. Anesth Analg. 2013;116:368–83.CrossRefGoogle ScholarPubMed
Dahan, A, Aarts, L, Smith, TW Incidence, reversal, and prevention of opioid-induced respiratory depression. Anesthesiology. 2010;112:226–38.CrossRefGoogle ScholarPubMed
DeMaria, EJ, Portenier, D, Wolfe, L. Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass. Surg Obes Rel Dis. 2007;3:134–40.CrossRefGoogle ScholarPubMed
Drummond, GB, Bates, A, Mann, J, et al. Characterization of breathing patterns during patient-controlled opioid analgesia. Br J Anaesth. 2013;111:971–8.CrossRefGoogle ScholarPubMed
Ehsan, Z, Mahmoud, M, Shott, SR, et al. The effects of anesthesia and opioids on the upper airway: A systematic review. Laryngoscope. 2016;126:270–84.CrossRefGoogle ScholarPubMed
Eichenberger, A, Proietti, S, Wicky, S, et al. Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg. 2002;95:1788–92.CrossRefGoogle ScholarPubMed
Futier, E, Marret, E, Jaber, S Perioperative positive pressure ventilation: an integrated approach to improve pulmonary care. Anesthesiology. 2014;121:400–8.Google Scholar
Glance, LG, Wissler, R, Mukamel, DB, et al. Perioperative outcomes among patients with the modified metabolic syndrome who are undergoing noncardiac surgery. Anesthesiology. 2010;113:859–72.CrossRefGoogle ScholarPubMed
Ingrande, J, Brodsky, JB, Lemmens, HJ Regional anesthesia and obesity. Curr Opin Anaesthesiol. 2009;22:683–6.CrossRefGoogle ScholarPubMed
Kaw, R, Chung, F, Pasupuleti, V, et al. Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome. Br J Anaesth. 2012;109:897–906.Google Scholar
La Colla, L, Albertin, A, La Colla, G, et al. Faster wash-out and recovery for desflurane vs sevoflurane in morbidly obese patients when no premedication is used. Br J Anaesth. 2007;99:353–8.Google Scholar
Liu, FL, Cherng, YG, Chen, SY, et al. Postoperative recovery after anesthesia in morbidly obese patients: a systematic review and meta-analysis of randomized controlled trials. Can J Anesth. 2015;62:907–17.Google Scholar
McKay, RE, Malhotra, A, Cakmakkaya, OS, et al. Effect of increased body mass index and anaesthetic duration on recovery of protective airway reflexes after sevoflurane vs desflurane. Br J Anaesth. 2010;104:175–82.Google Scholar
Morgan, DJ, Ho, KM, Armstrong, J, et al. Incidence and risk factors for intensive care unit admission after bariatric surgery: a multicentre population-based cohort study. Br J Anaesth. 2015;115:873–82.CrossRefGoogle ScholarPubMed
Mulier, JP Perioperative opioids aggravate obstructive breathing in sleep apnea syndrome: mechanisms and alternative anesthesia strategies. Curr Opin Anaesthesiol. 2016;29:129–33.CrossRefGoogle ScholarPubMed
Ng, M, Fleming, T, Robinson, M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–81.CrossRefGoogle ScholarPubMed
Nightingale, CE, Margarson, MP, Shearer, E, et al.; Association of Anaesthetists of Great Britain; Ireland Society for Obesity and Bariatric Anaesthesia. Peri-operative management of the obese surgical patient 2015: Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia. 2015;70:859–76.Google Scholar
Pan, L, Xie, X, Liu, D, et al. Obstructive sleep apnoea and risks of all-cause mortality: preliminary evidence from prospective cohort studies. Sleep Breathing. 2016;20:345–53.Google Scholar
Schumann, R, Shikora, SA, Sigl, JC, et al. Association of metabolic syndrome and surgical factors with pulmonary adverse events, and longitudinal mortality in bariatric surgery. Br J Anaesth. 2015;114:83–90.Google Scholar
Seet, E, Chung, F. Management of sleep apnea in adults – functional algorithms for the perioperative period: continuing professional development. Can J Anesth. 2010;57:849–64.CrossRefGoogle ScholarPubMed
Tsai, A, Schumann, R. Morbid obesity and perioperative complications. Curr Opin Anaesthesiol. 2016;29:103–8.CrossRefGoogle ScholarPubMed
Tung, A. Anaesthetic considerations with the metabolic syndrome. Br J Anaesth. 2010;105:i24–i33.CrossRefGoogle ScholarPubMed
Uhlig, C, Bluth, T, Schwarz, K, et al. Effects of volatile anesthetics on mortality and postoperative pulmonary and other complications in patients undergoing surgery: a systematic review and meta-analysis. Anesthesiology. 2016;124:1230–45.CrossRefGoogle ScholarPubMed
Weingarten, TN, Flores, AS, McKenzie, JA, et al. Obstructive sleep apnoea and perioperative complications in bariatric patients. Br J Anaesth. 2011;106:31–9.CrossRefGoogle ScholarPubMed
Zaremba, S, Shin, CH, Hutter, MM, et al. Continuous positive airway pressure mitigates opioid-induced worsening of sleep-disordered breathing early after bariatric surgery. Anesthesiology. 2016;125(1):92–104.Google Scholar

Further Reading

Andersen, HK,Lewis, SJ, Thomas, S. Early enteral nutrition within 24 h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochr Database Syst Rev. 2006;4:CD004080.Google Scholar
Andersen, J, Hjort-Jakobsen, D, Christiansen, PS, Kehlet, H. Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery. Br J Surg. 2007;94(7):890–3.Google Scholar
Apfel, CC, Korttila, K, Abdalla, M, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350(24):2441–51.Google Scholar
Awad, S, Carter, S, Purkayastha, S, et al. Enhanced recovery after bariatric surgery (ERABS): clinical outcomes from a tertiary referral bariatric centre. Obes Surg. 2014;24(5):753–8.Google Scholar
Awad, S, Lobo, DN. Metabolic conditioning to attenuate the adverse effects of perioperative fasting and improve patient outcomes. Curr Opin Clin Nutr Metab Care. 2012;15(2):194–200.CrossRefGoogle ScholarPubMed
Awad, S, Varadhan, KK, Ljungqvist, O, Lobo, DN. A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery. Clin Nutr. 2013;32(1):34–44.CrossRefGoogle ScholarPubMed
Azhar, RA, Bochner, B, Catto, J, et al. Enhanced recovery after urological surgery: a contemporary systematic review of outcomes, key elements, and research needs. Eur Urol. 2016;70(1):176–87.CrossRefGoogle ScholarPubMed
Domi, R, Laho, H. Anesthetic challenges in the obese patient. J Anesth 2012;26(5):758–65.CrossRefGoogle ScholarPubMed
Ford, SJ, Adams, D, Dudnikov, S, et al. The implementation and effectiveness of an enhanced recovery programme after oesophago-gastrectomy: a prospective cohort study. Int J Surg. 2014;12(4):320–4.Google Scholar
Gotlib Conn, L, Rotstein, OD, Greco, E, et al. Enhanced recovery after vascular surgery: protocol for a systematic review. Syst Rev. 2012;1:52.Google Scholar
Greco, M, Capretti, G, Beretta, L, et al. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J Surg. 2014;38(6):1531–41.Google Scholar
Gustafsson, UO, Hausel, J, Thorell, A, et al.; Enhanced Recovery After Surgery Study Group. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg. 2011;146(5):571–7.Google Scholar
Ingrande, J, Brodsky, JB, Lemmens, HJ.Regional anesthesia and obesity. Curr Opin Anaesthesiol. 2009;22(5):683–6.Google Scholar
Kahokehr, A, Sammour, T, Zargar-Shoshtari, K, Thompson, L, Hill, AG. Implementation of ERAS and how to overcome the barriers. Int J Surg. 2009;7(1):16–19.Google Scholar
Kehlet, H, Slim, K. The future of fast-track surgery. Br J Surg. 2012;99(8):1025–6.CrossRefGoogle ScholarPubMed
Kiyohara, LY, Kayano, LK, Oliveira, LM, et al. Surgery information reduces anxiety in the pre-operative period. Rev Hosp Clin Fac Med Sao Paulo. 2004;59(2):51–6.Google Scholar
Lee, A, Gin, T. Educating patients about anaesthesia: effect of various modes on patients’ knowledge, anxiety and satisfaction. Curr Opin Anaesthesiol. 2005;18(2):205–8.CrossRefGoogle ScholarPubMed
Lemanu, DP, Singh, PP, Berridge, K, et al. Randomized clinical trial of enhanced recovery versus standard care after laparoscopic sleeve gastrectomy. Br J Surg. 2013;100(4):482–9.CrossRefGoogle ScholarPubMed
Ljungqvist, O, Soreide, E. Preoperative fasting. Br J Surg. 2003;90(4):400–6.Google Scholar
Lobo, DN, Bostock, KA, Neal, KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet. 2002;359(9320):1812–18.CrossRefGoogle ScholarPubMed
Melling, AC, Ali, B, Scott, EM, Leaper, DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. Lancet 2001;358(9285):876–80.Google Scholar
Members of the Working Party; Nightingale, CE, Margarson, MP, Shearer, E, et al. Peri-operative management of the obese surgical patient 2015: Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia. 2015;70(7):859–76.Google Scholar
Mullen, JT, Moorman, DW, Davenport, DL The obesity paradox: body mass index and outcomes in patients undergoing nonbariatric general surgery. Ann Surg. 2009;250(1):166–72.Google Scholar
Nossaman, VE, Richardson, WS, 3rd, Wooldridge, JB, Jr., Nossaman, BD. Role of intraoperative fluids on hospital length of stay in laparoscopic bariatric surgery: a retrospective study in 224 consecutive patients Surg Endosc. 2015;29(10):2960–9.CrossRefGoogle ScholarPubMed
Ogunnaike, BO, Jones, SB, Jones, DB, Provost, D, Whitten, CW.Anesthetic considerations for bariatric surgery. Anesth Analg. 2002;95(6):1793–805.CrossRefGoogle ScholarPubMed
Restrepo, RD, Wettstein, R, Wittnebel, L, Tracy, M. Incentive spirometry: 2011. Respir Care. 2011;56(10):1600–4.Google Scholar
Sajid, MS, Mallick, AS, Rimpel, J, et al. Effect of heated and humidified carbon dioxide on patients after laparoscopic procedures: a meta-analysis. Surg Laparosc Endosc Percutan Tech. 2008;18(6):539–46.Google ScholarPubMed
Schuster, R, Alami, RS, Curet, MJ, et al. Intra-operative fluid volume influences postoperative nausea and vomiting after laparoscopic gastric bypass surgery. Obes Surg. 2006;16(7):848–51.Google Scholar
Thorell, A, MacCormick, AD, Awad, S, et al. Guidelines for perioperative care in bariatric surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. World J Surg. 2016;40(9):2065–83.Google Scholar
Tjeertes, EK, Hoeks, SE, Beks, SB, et al. Obesity: a risk factor for postoperative complications in general surgery? BMC Anesthesiol. 2015;15:112.Google Scholar
Varadhan, KK, Neal, KR, Dejong, CH, et al. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010;29(4):434–40.Google Scholar
Wisely, JC, Barclay, KL. Effects of an Enhanced Recovery After Surgery programme on emergency surgical patients. ANZ J Surg. 2016;86(11):883–8.CrossRefGoogle ScholarPubMed

Further Reading

Alikhan, R, Peters, F, Wilott, R, Cohen, AT Fatal pulmonary embolism in hospitalised patients: anecropsy review. J Clin Pathol. 2004;54:1254–7.Google Scholar
Bartlett, MA, Mauck, KF, Daniels, PR Prevention of venous thromboembolism in patients undergoing bariatric surgery. Vasc Health Risk Manag. 2015;11:461–77.Google Scholar
Becattini, C, Agnelli, G, Manina, G, Noya, G, Rondelli, F Venous thromboembolism after laparoscopic bariatric surgery for morbid obesity: clinical burden and prevention. Surg Obes Relat Dis. 2012;8:108–15.Google Scholar
Birkmeyer, NJ, Share, D, Baser, O, et al.; Michigan Bariatric Surgery Collaborative. Preoperative placement of inferior vena cava filters and outcomes after gastric bypass surgery. Ann Surg. 2010;252:313–18.Google Scholar
Birkmeyer, NJ, Finks, JF, Carlin, AM, et al.; Michigan Bariatric Surgery Collaborative. Comparative effectiveness of unfractionated and low-molecular-weight heparin for prevention of venous thromboembolism following bariatric surgery. Arch Surg. 2012;147(11):994–8.Google Scholar
Borkgren-Okonek, MJ, Hart, RW, Pantano, JE, et al. Enoxaparin thromboprophylaxis in gastric bypass patients: extended duration, dose stratification, and antifactor Xa activity. Surg Obes Relat Dis. 2008;4:625–31.CrossRefGoogle ScholarPubMed
Celik, F, Huitema, A, Hooijberg, J, et al. Fixed dose enoxaparin after bariatric surgery: the influence of body weight on peak anti-Xa levels. Obes Surg. 2015;25:628–34.CrossRefGoogle ScholarPubMed
Diepstraten, J, Janssen, EJ, Hackeng, CM, et al. Population pharmacodynamic model for low molecular weight heparin nadroparin in morbidly obese and non-obese patients using anti-Xa levels as endpoint. Eur J Clin Pharmacol. 2015;71(1):25–34.Google Scholar
Edmonds, MJ, Crichton, TJ, Runciman, WB, Pradhan, M Evidence-based risk factors for postoperative deep vein thrombosis. ANZ J Surg. 2004;74:1082–97.Google Scholar
Finks, JF, English, WJ, Carlin, AM, et al.; Michigan Bariatric Surgery Collaborative Center for Healthcare Outcomes and Policy. Predicting risk for venous thromboembolism with bariatric surgery: results from the Michigan Bariatric Surgery Collaborative. Ann Surg. 2012;255:1100–4.Google Scholar
Frantzides, CT, Welle, SN, Ruff, TM, Frantzides, AT Routine anticoagulation for venous thromboembolism prevention following laparoscopic gastric bypass. JSLS. 2012;16:33–7.Google Scholar
Gould, MK, Garcia, DA, Wren, SM, et al.; American College of Chest Physicians. Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012;141:e227S–77SGoogle Scholar
Hamad, GG, Choban, PS Enoxaparin for thromboprophylaxis in morbidly obese patients undergoing bariatric surgery: findings of the prophylaxis against VTE outcomes in bariatric surgery patients receiving enoxaparin (PROBE) study. Obes Surg. 2005;15:1368–74.Google Scholar
Ho, KM, Tan, JA Stratified meta-analysis of intermittent pneumatic compression of the lower limbs to prevent thromboembolism in hospitalised patients. Circulation. 2013;128:1003–20.CrossRefGoogle Scholar
Imberti, D, Baldini, E, Pierfranceschi, MG, et al. Prophylaxis of venous thromboembolism with low molecular weight heparin in bariatric surgery: a prospective, randomized pilot study evaluating two doses of parnaparin (BAFLUX Study). Obes Surg. 2014;24:284–91.Google Scholar
Kalfarentzos, F, Stavropoulou, F, Yarmenitis, S, et al. Prophylaxis of venous thromboembolism using two different doses of low-molecular-weight heparin (nadroparin) in bariatric surgery: a prospective randomized trial. Obes Surg. 2001;11:670–6.Google Scholar
Keeling, D, Campbell Tait, R, Watson, H Peri-operative management of anticoagulation and antiplatelet therapy. 2016. www.bcshguidelines.com/documents/BSH_periop_guideline_for_editor.pdf (accessed May 2018).Google Scholar
Kothari, SN, Lambert, PJ, Mathiason, MA A comparison of thromboembolic and bleeding events following laparoscopic gastric bypass in patients treated with prophylactic regimens of unfractionated heparin or enoxaparin. Am J Surg. 2007;194(6):709–11.CrossRefGoogle ScholarPubMed
Lester, W, Freemantle, N, Begaj, I, et al. Fatal venous thromboembolism associated with hospital admission: a cohort study to assess the impact of a national risk assessment target. Heart. 2013;99:1734–9.Google Scholar
Martin, K, Beyer-Westendorf, J, Davidson, BL, et al. Use of the direct oral anticoagulants in obese patients: guidance from the SSC of the ISTH. J Thromb Haemost 2016;14:1308–13.Google Scholar
Mismetti, P, Laporte, S, Darmon, JY, Buchmüller, A, Decousus, H Meta-analysis of low molecular weight heparin in the prevention of venous thromboembolism in general surgery. Br J Surg. 2001;88:913–30.Google ScholarPubMed
NICE. Clinical guideline CG92: Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism in Patients Admitted to Hospital. http://guidance.nice.org.uk/CG92 (accessed May 2018).Google Scholar
Nutescu, EA, Spinler, SA, Wittkowsky, A, Dager, WE Low-molecular-weight heparins in renal impairment and obesity: available evidence and clinical practice recommendations across medical and surgical settings. Ann Pharmacother. 2009;43:1064–83.Google Scholar
Roberts, LN, Porter, G, Barjer, RD et al. Comprehensive VTE prevention programme incorporating mandatory risk assessment reduces the incidence of hospital-associated thrombosis. Chest. 2013.;144:1276–81.Google Scholar
Rocha, AT, de Vasconcellos, AG, da Luz Neto, ER, et al. Risk of venous thromboembolism and efficacy of thromboprophylaxis in hospitalized obese medical patients and in obese patients undergoing bariatric surgery. Obes Surg. 2006;16:1645–55.CrossRefGoogle ScholarPubMed
Roftopoulous, I, Martindale, C, Cronin, A et al. The effect of extended post-discharge chemical thromboprophylaxis on venous thromboembolism rates after bariatric surgery: a prospective comparison trial. Surg Endosc. 2008;22:2384–91.Google Scholar
Rowan, BO, Kuhl, DA, Lee, MD, Tichansky, DS, Madan, AK Anti-Xa levels in bariatric surgery patients receiving prophylactic enoxaparin. Obes Surg. 2008;18:162–6.Google Scholar
Sachdeva, A, Dalton, M, Amaragiri, SV et al. Graduated compression stockings for prevention of deep vein thrombosis. Cochr Database Syst Rev. 2014;12:CD001484.Google Scholar
Scholten, D, Hoedema, R, Scholten, S A comparison of two different prophylactic dose regimens of low molecular weight heparin in bariatric surgery. Obes Surg. 2002;12:19–24.Google Scholar
Simoneau, MD, Vachon, A, Picard, F Effect of prophylactic dalteparin on anti-factor Xa levels in morbidly obese patients after bariatric surgery. Obes Surg. 2010;20:487–91.Google Scholar
Diepstraten, J, Hackeng, C, van Kralingen, S et al. Anti-Xa levels 4 h after subcutaneous administration of 5,700 units IU nadroparin strongly correlate with lean body weight in morbidly obese patients. Obes Surg. 2012;22:791–6.CrossRefGoogle Scholar
Winegar, DA, Sherif, B, Pate, V, DeMaria, EJ Venous thromboembolism after bariatric surgery performed by Bariatric Surgery Center of Excellence Participants: analysis of the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2011;7:181–8.CrossRefGoogle ScholarPubMed

Further Reading

Aminian, A, Kashyap, SR, Burguera, B, et al. Incidence and clinical features of diabetic ketoacidosis after bariatric and metabolic surgery. Diabet Care. 2016;39(4):e50–3.CrossRefGoogle ScholarPubMed
Batterham, RL, Cummings, DE. Mechanisms of diabetes improvement following bariatric/metabolic surgery. Diabet Care 2016;39(6):893–901.Google Scholar
Chuah, LL, Miras, AD, Papamargaritis, D, et al. Impact of perioperative management of glycemia in severely obese diabetic patients undergoing gastric bypass surgery. Surg Obes Relat Dis. 2015;11(3):578–84.Google Scholar
Cruijsen, M, Koehestani, P, Huttjes, S, et al. Perioperative glycaemic control in insulin-treated type 2 diabetes patients undergoing gastric bypass surgery. Neth J Med. 2014;72(4):202–9.Google Scholar
Fenske, WK, Pournaras, DJ, Aasheim, ET, et al. Can a protocol for glycaemic control improve type 2 diabetes outcomes after gastric bypass? Obes Surg. 2012;22(1):90–6.Google Scholar
Golden, SH, Peart-Vigilance, C, Kao, WH, Brancati, FL. Perioperative glycemic control and the risk of infectious complications in a cohort of adults with diabetes. Diabet Care 1999;22(9):1408–14.Google Scholar
Heber, D, Greenway, FL, Kaplan, LM, et al. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab., 2010;95(11):4823–43.CrossRefGoogle ScholarPubMed
Hutter, MM, Schirmer, BD, Jones, DB, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. Ann Surg. 2011;254(3):410–20.Google Scholar
Lee, CJ, Clark, JM, Schweitzer, M, et al. Prevalence of and risk factors for hypoglycemic symptoms after gastric bypass and sleeve gastrectomy. Obesity (Silver Spring). 2015;23(5): 1079–84.Google Scholar
Lee, WJ, Hur, KY, Lakadawala, M, et al. Gastrointestinal metabolic surgery for the treatment of diabetic patients: a multi-institutional international study. J Gastrointest Surg 2012;16(1):45–51; discussion 51–2.Google Scholar
Machnica, K, Pannain, S, Schulwolf, E, Bartfield, B, Emanuele, MA. inpatient glycemic protocol for patients with diabetes undergoing bariatric surgery. Obes Surg 2015;25(11):2200–4.Google Scholar
Mechanick, JI, Youdim, A, Jones, DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient–2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013;21(Suppl 1):S1–27.CrossRefGoogle Scholar
Mingrone, G, Panunzi, S, De Gaetano, A, et al. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med. 2012;366(17):1577–85.Google Scholar
Mingrone, G, Panunzi, S, De Gaetano, A, et al. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015;386(9997):964–73.CrossRefGoogle ScholarPubMed
Miras, AD, Risstad, H, Baqai, N, et al. Application of the International Diabetes Federation and American Diabetes Association criteria in the assessment of metabolic control after bariatric surgery. Diabet Obes Metab. 2014;16(1): 86–9.CrossRefGoogle ScholarPubMed
Rometo, D, Korytkowski, M. Perioperative glycemic management of patients undergoing bariatric surgery. Curr Diab Rep. 2016;16(4):23.Google Scholar

Further Reading

Aasheim, ET Wernicke encephalopathy after bariatric surgery. Ann Surg. 2008;248:714–20.Google Scholar
Baker, M, Harbottle, L Parenteral Nutrition. Manual of Dietetic Practice, 5th edn. Birmingham: The British Dietetic Assocation; 2014.Google Scholar
Baldry, EL, Leeder, PC, Idris, IR Pre-operative dietary restriction for patients undergoing bariatric surgery in the UK: observational study of current practice and dietary effects. Obes Surg. 2014;24:416–21.Google Scholar
Blackburn, GL Metabolic considerations in the management of surgical patients. Surg Clin N Am. 2011;91:467–80.Google Scholar
Bundhan, PK, Li, N, Chen, MH Does an obesity paradox really exist after cardiovascular interventions?: a systematic review and meta-analysis of randomized controlled trials and observational studies. Medicine (Baltimore). 2015;94(44):e1910.CrossRefGoogle Scholar
Colles, S, Dixon, JB, Marks, P, et al. Preoperative weight loss with a very-low-energy diet: quantitation of changes in liver and abdominal fat by serial imaging. Am J Clin Nutr. 2006;84:304–11.Google Scholar
Galloway, P, McMillan, DC, Sattar, N Effect of the inflammatory response on trace element and vitamin status. Ann Clin Biochem. 2000;37:289–97.Google Scholar
Gerlach, AT, Murphy, C An update on nutrition support in the critically ill. J Pharm Practice. 2011;24:70–7.Google Scholar
Gurunathan, U, Myles, PS Limitations of body mass index as an obesity measure of perioperative risk. Br J Anaesth 2016;116(3):319–21.Google Scholar
McClave, SA, Taylor, BE, Martindale, RG, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patients: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). J Parenteral Enteral Nutr. 2016;40(2):159–211.Google Scholar
Mechanick, JI, Youdim, A, Jones, DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient 2013 update: cosponsored by the American Association of Clinical Endocrinologist, The Obesity Society, and American Society for Metabolic and Bariatric Surgery. Surg Obes Relat Dis.2013;9:159–91.Google Scholar
National Institute for Health and Care Excellence. Nutrition support for adults: oral nutrition support, enteral feeding and parenteral nutrition. NICE CG 32. 2006. www.nice.org.uk/guidance/cg32 (accessed May 2018).Google Scholar
National Institute for Health and Care Excellence. BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups. 2013. www.nice.org.uk/guidance/ph46 (accessed May 2018).Google Scholar
National Institute for Health and Care Excellence. Obesity: identification, assessment and management of overweight and obesity in children, young people and adults 2014 . NICE CG 189. www.nice.org.uk/guidance/cg189 (accessed May 2018).Google Scholar
O’Kane, M, Parretti, HM, Hughes, CA, et al. Guidelines for the follow-up of patients undergoing bariatric surgery. Clin Obes. 2016;6:210–24.Google Scholar
O’Kane, M, Pinkney, J, Aasheim, ET et al. BOMSS guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery adults. 2014. www.bomss.org.uk/wp-content/uploads/2014/09/BOMSSguidelines.Final-version1Oct14.pdf (accessed May 2018).Google Scholar
Oliveros, H, Villamor, E Obesity and mortality in critically ill adults: a systematic review and meta-analysis. Obesity. 2008;16:515–21.Google Scholar
Parrott, J, Frank, L, Rabena, R, et al. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surg Obes Relat Dis. 2017;13:727–41.Google Scholar
Pinnock, G, O’Kane, M, Walker, N Bariatric Surgery. A Pocket Guide to Clinical Nutrition. Birmingham: PEN Group (Parenteral and Enteral Nutrition Group of the British Dietetic Association; 2013.Google Scholar
Preiser, J-C, van Zanten, ARH, Berger, MM, et al. Metabolic and nutritional support of critically ill patients: consensus and controversies. Crit Care. 2015;19:35.Google Scholar
Robinson, MK, Mogensen, KM, Casey, JD, et al. The relationship among obesity, nutritional status and mortality in the critcally ill. Crit Care Med. 2015;43(1):87–100.Google Scholar
Sakr, Y, Alhussami, I, Nanchal, R, et al. Being overweight is associated with greater survival in ICU patients: Results from the Intensive Care Over Nations Audit. Crit Care Med. 2015;43:2626–32.Google Scholar
Van Zanten, ARH Full or hypocaloric nutritional support for the critically ill patient: is less really more? J Thorac Dis. 2015;7(7):1086–91.Google ScholarPubMed
Weimann, A, Braga, M, Carli, F, et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr. 2017;36:623–50.Google Scholar

Further Reading

Cook, TM, Woodall, N, Harper, J, Benger, J; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth. 2011;106:632–42.Google Scholar
Danziger, J, Chen, KP, Lee, J, et al. Obesity, acute kidney injury, and mortality in critical illness. Crit Care Med. 2016;44(2):328–34.Google Scholar
De Jong, A, Molinari, N, Sebbane, M, et al. Feasibility and effectiveness of prone position in morbidly obese patients with ARDS: A case-control clinical study. Chest. 2013; 143(6):1554–61.Google Scholar
Druml, W, Metnitz, B, Schaden, E, et al. Impact of body mass on incidence and prognosis of acute kidney injury requiring renal replacement therapy. Intens Care Med. 2010;36:1221–8.Google Scholar
Duarte, AG, Justino, E, Bigler, T, et al. Outcomes of morbidly obese patients requiring mechanical ventilation for acute respiratory failure. Crit Care Med. 2007;35:732–7.Google Scholar
El Solh, AA, Jaafar, W. A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. Crit Care. 2007;11(1):R3.CrossRefGoogle ScholarPubMed
Hibbert, K, Rice, M, Malhotra, A. Obesity and ARDS. Chest. 2012;142(3):785–90.Google Scholar
Hogue, CW,Jr, Stearns, JD, Colantuoni, E, et al. The impact of obesity on outcomes after critical illness: A meta-analysis. Intensive Care Med. 2009;35(7):1152–70.Google Scholar
Jain, R, Nallamothu, BK, Chan, PS, American Heart Association National Registry of Cardiopulmonary Resuscitation (NRCPR) Investigators. Body mass index and survival after in-hospital cardiac arrest. Circ Cardiovasc Qual Outcomes. 2010;3(5):490–7.Google Scholar
Joffe, A, Wood, K. Obesity in critical care. Curr Opin Anaesthesiol. 2007;20(2):113–18.Google Scholar
McGrath, BA, Wilkinson, K. The NCEPOD study: On the right trach? lessons for the anaesthetist. Br J Anaesth. 2015;115(2):155–8.Google Scholar
Nightingale, CE, Margarson, MP, Shearer, E, et al. Peri-operative management of the obese surgical patient 2015: Association of Anaesthetists of Great Britain and Ireland Society for Obesity and Bariatric Anaesthesia. Anaesthesia. 2015;70(7):859–76.Google ScholarPubMed
Papazian, L, Corley, A, Hess, D, et al. Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review. Intens Care Med. 2016;42(9):1336–49.Google Scholar
Selim, BJ, Ramar, K, Surani, S. Obesity in the intensive care unit: risks and complications. Hosp Pract (1995). 2016;44(3):146–56.Google Scholar
Shashaty, MG, Stapleton, RD Physiological and management implications of obesity in critical illness. Ann Am Thorac Soc. 2014;11(8):1286–97.Google Scholar
Szeto, C, Kost, K, Hanley, JA, Roy, A, Christou, N. A simple method to predict pretracheal tissue thickness to prevent accidental decannulation in the obese. Otolaryngol Head Neck Surg. 2010;143(2):223–9.Google Scholar

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