bandage-green

Bariatric Revision Surgery (Band Removal / Conversion)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Reverse Trendelenburg, arms extended
Time : 4+ hours (very long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP
Considerations : Aspiration risk / Full stomach, Obesity, Arterial line, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Positioning and access - Supine with arms on padded boards, footboard and safety straps, then steep reverse Trendelenburg once pneumoperitoneum is established. Some surgeons use a split-leg table and...

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