Year 2021, Volume 7 , Issue 4, Pages 380 - 385 2021-07-04

Objectives: The aim of this study is to determine the incidence of intraoperative awereness (IA) in our patients who underwent laparoscopic sleeve gastrectomy (LSG) and the factors affecting the formation of this complication.

Methods: Four hundred ten patients who underwent LSG between March 2018 and September 2020 were included in the study. By April 2019, we started using the Bispectral index (BIS) monitoring, which measures the depth of anesthesia in all of our LSG cases (n = 167). Patients with and without BIS monitorization were divided into two groups and compared.

Results: In our series, IA was seen in 3 patients (2 males) in two different hospitals (0.7%; n = 410). They were all in the non BIS group (n = 243). The median duration of anesthesia was 120 minutes (ranging 90-180) in the non-BIS, and 113 minutes (ranging, 90-140) in the BIS group (p < 0.001). Hypotension developed in 63 patients in non-BIS and 12 patients in BIS group at the beginning of the operation (< 90/60 mm Hg). The total remifentanil infusion dose administered during the anesthesia period in the BIS group was 1310 ± 351 mcg, and 1330 ± 270 mcg in the non BIS group (p = 0.002). The effect of BIS monitorization between groups on IA, did not show statistical significance (p = 0.27).

Conclusions: Anesthesia techniques that work well for patients with normal weight may not be safe and appropriate for obese patients. Especially in patients with intraoperative hypotension, it is necessary to be more careful about dose adjustment of anesthetic drugs.

Bariatric surgery, sleeve gastrectomy, general anesthesia, complication, intraoperative awareness
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Primary Language en
Subjects Anesthesiology
Journal Section Original Articles
Authors

Orcid: 0000-0002-6987-764X
Author: Ozan ŞEN (Primary Author)
Institution: Department of Health Sciences, Nişantaşı University, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0003-3530-8710
Author: Fatih Can KARACA
Institution: Department of Health Sciences, Bilgi University, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0003-1795-6597
Author: Seniyye ZENGİN
Institution: Department of Anesthesiology and Reanimation, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0001-9630-0419
Author: Ahmet TÜRKÇAPAR
Institution: Türkçapar Bariatrics, Center for Obesity Surgery, İstanbul, Turkey
Country: Turkey


Supporting Institution yok
Dates

Application Date : October 16, 2020
Acceptance Date : November 15, 2020
Publication Date : July 4, 2021

EndNote %0 The European Research Journal Intraoperative awareness during laparoscopic sleeve gastrectomy %A Ozan Şen , Fatih Can Karaca , Seniyye Zengin , Ahmet Türkçapar %T Intraoperative awareness during laparoscopic sleeve gastrectomy %D 2021 %J The European Research Journal %P -2149-3189 %V 7 %N 4 %R doi: 10.18621/eurj.811379 %U 10.18621/eurj.811379