Morbid Obezite Cerrahisi Geçiren Hastalarda Zor Havayolu Insidansı ve Eşlik Eden Hastalıklar

Abstract

Obesity is a chronic disease that effects both life quality and life expectancy. Obesity is one of the most important health issues of the developing world and also it is commonly seen in Turkey. It is important for anesthesists to know about airway management and complications due to obesity-associated diseases since bariatric surgery is more commonly performed. In our study 96 patients, aged 18-65, undergoing bariatric surgery between 01.01.2010 – 01.01.2014 retrospectively evaluated. Demographic properties, associated diseases, surgical method, airway management, difficult airway presence, mallampati scores, anesthesia management, postoperative hospitalization periods were recorded. 23 of the cases were male and 73 were female. Mean age was 36.2±9.4 years. Most commonly associating disease was hypertension which was seen in % 25 of the cases, followed by diabetes (% 21.9), hypothyroidism (% 16.7), asthma (% 12.5), hyperlipidemia (% 8.3) and OSAS (% 7.3). It was found that in patients with difficult airway, OSAS was seen significantly higher and also in this patient group mallampati scores were significantly higher. Postoperative hospitalization time and ICU follow-up time were significantly longer in patients with BMI higher than 50 kg/m2. Most common indication for ICU admission was found to be respiratory problems other than in patients who were admitted to ICU for close follow-up. In conclusion; especially in morbidly obese patients with OSAS and high mallampati scores, difficult airway can be seen commonly; therefore we believe that in bariatric surgery patients, preoperative evaluation is important for anesthesia management.