Authors: Teresa Messina Alfredo Genco Roberto Favaro Roberta Maselli Fiore Torchia Francesco Guidi Roberto Razza Nadia Aloi Marco Piattelli Michele Lorenzo
Publish Date: 2011/06/09
Volume: 25, Issue: 12, Pages: 3811-3814
Abstract
Different anesthesiological techniques are currently used for intragastric balloon positioning and removal The aim of this study is to compare different anesthesiological approaches for balloon positioning and removal in a large multicentric patient populationRetrospective multicenter study was conducted From May 2000 to April 2008 3824 patients underwent BIB® placement 1022 male/2802 female mean age 395 ± 147 years range 12–71 years mean body mass index BMI 448 ± 97 kg/m2 range 280–791 kg/m2 excess weight EW 591 ± 298 kg range 16–210 kg EW 893 ± 317 range 214–262 Patients were allocated to three groups according to anesthesiological technique used conscious sedation group A deep sedation group B and general anesthesia group C Intragastric balloon was placed after diagnostic endoscopy and removed after 6 months Both positioning and removal were done under different protocols Conscious sedation was obtained with topical lidocaine spray adding diazepam 005–01 mg/kg iv or midazolam 003–005 mg/kg iv Deep sedation was obtained with propofol alone or adding other drugs such as midazolam meperidine/fentanyl or meperidine/fentanyl + midazolam General anesthesia was obtained with midazolam premedication 001–002 mg/kg iv followed by induction with propofol 1–15 mg/kg iv + Norcuron 80 mcg/kg iv + fentanyl 05–1 mcg/kg iv and maintenance with propofol 50–150 μg/kg/min or sevorane Oxygen saturation hemodynamic stability major anesthesiological complications and related mortality patient satisfaction time to return to autonomous walking duration of procedure and hospital stay were considered
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