The role of ultrasonography in anesthesia for bariatric surgery

Bariatric surgeries are effective long-term management for morbid obesity with its adverse sequelae. Anesthesia of bariatric surgeries poses unique challenges for the anesthesiologist in every step starting with vascular access till tracheal extubation. The usage of ultrasound in anesthesia is becom...

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Autores principales: Diab, Sherein, Kweon, Jaeyeon, Farrag, Ossama, Shehata, Islam M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311175/
https://www.ncbi.nlm.nih.gov/pubmed/35898531
http://dx.doi.org/10.4103/sja.sja_80_22
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author Diab, Sherein
Kweon, Jaeyeon
Farrag, Ossama
Shehata, Islam M.
author_facet Diab, Sherein
Kweon, Jaeyeon
Farrag, Ossama
Shehata, Islam M.
author_sort Diab, Sherein
collection PubMed
description Bariatric surgeries are effective long-term management for morbid obesity with its adverse sequelae. Anesthesia of bariatric surgeries poses unique challenges for the anesthesiologist in every step starting with vascular access till tracheal extubation. The usage of ultrasound in anesthesia is becoming more prevalent with a variety of benefits, especially in the obese population. Ultrasound is successfully used for obtaining vascular access, with more than 15 million catheters placed in the United States alone. Ultrasound can also be used to predict difficult intubation, as it can confirm the tracheal intubation and assess the gastric content to prevent pulmonary aspiration. Ultrasound is also used in the management of mechanically ventilated patients to monitor lung aeration and to identify respiratory complications during positive pressure ventilation. Moreover, intraoperative echocardiography helps to discover the pulmonary embolism and guides the fluid therapy. Finally, ultrasound can be used to perform neuraxial and fascial plane block with a less overall time of the procedures and minimal complications. The wide use of ultrasound in bariatric anesthesia reflects the learning curve of the anesthesiologists and their mounting efforts to provide safe anesthesia utilizing the updated technology. In this review, we highlight the role of ultrasonography in anesthesia of bariatric surgery and discuss the recent guidelines.
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spelling pubmed-93111752022-07-26 The role of ultrasonography in anesthesia for bariatric surgery Diab, Sherein Kweon, Jaeyeon Farrag, Ossama Shehata, Islam M. Saudi J Anaesth Review Article Bariatric surgeries are effective long-term management for morbid obesity with its adverse sequelae. Anesthesia of bariatric surgeries poses unique challenges for the anesthesiologist in every step starting with vascular access till tracheal extubation. The usage of ultrasound in anesthesia is becoming more prevalent with a variety of benefits, especially in the obese population. Ultrasound is successfully used for obtaining vascular access, with more than 15 million catheters placed in the United States alone. Ultrasound can also be used to predict difficult intubation, as it can confirm the tracheal intubation and assess the gastric content to prevent pulmonary aspiration. Ultrasound is also used in the management of mechanically ventilated patients to monitor lung aeration and to identify respiratory complications during positive pressure ventilation. Moreover, intraoperative echocardiography helps to discover the pulmonary embolism and guides the fluid therapy. Finally, ultrasound can be used to perform neuraxial and fascial plane block with a less overall time of the procedures and minimal complications. The wide use of ultrasound in bariatric anesthesia reflects the learning curve of the anesthesiologists and their mounting efforts to provide safe anesthesia utilizing the updated technology. In this review, we highlight the role of ultrasonography in anesthesia of bariatric surgery and discuss the recent guidelines. Wolters Kluwer - Medknow 2022 2022-06-20 /pmc/articles/PMC9311175/ /pubmed/35898531 http://dx.doi.org/10.4103/sja.sja_80_22 Text en Copyright: © 2022 Saudi Journal of Anesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Diab, Sherein
Kweon, Jaeyeon
Farrag, Ossama
Shehata, Islam M.
The role of ultrasonography in anesthesia for bariatric surgery
title The role of ultrasonography in anesthesia for bariatric surgery
title_full The role of ultrasonography in anesthesia for bariatric surgery
title_fullStr The role of ultrasonography in anesthesia for bariatric surgery
title_full_unstemmed The role of ultrasonography in anesthesia for bariatric surgery
title_short The role of ultrasonography in anesthesia for bariatric surgery
title_sort role of ultrasonography in anesthesia for bariatric surgery
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311175/
https://www.ncbi.nlm.nih.gov/pubmed/35898531
http://dx.doi.org/10.4103/sja.sja_80_22
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