Saulo Maia D'Avila Melo1, Fernando Antônio Rabelo de Vasconcelos2, Valdinaldo Aragão de Melo3, Fábio Almeida Santos4, Raimundo Sotero de Menezes Filho5, Bárbara Santana D'Avila Melo6. 1. Unidade de Terapia Intensiva, Hospital Universitário, Universidade Federal de Sergipe, Aracaju, SE, Brasil. 2. Unidade de Terapia Intensiva, Hospital de Urgência de Sergipe, Aracaju, SE, Brasil. 3. Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, SE, Brasil. 4. Serviço Integrado de Gastroenterologia e Obesidade, Hospital São Lucas, Aracaju, SE, Brasil. 5. Centro de Diabetes de Sergipe, Aracaju, SE, Brasil. 6. Centro Universitário Serra dos Órgãos, Teresópolis, RJ, Brasil.
Abstract
OBJECTIVE: The purpose of this study was to determine the place of stay at postoperative and to verify medical-surgical complications that would justify admission to the intensive care unit, including death. METHODS: Cross-over, prospective, open study that evaluated 120 patients who were submitted to primary bariatric surgery by video laparoscopy from May 2007 to April 2008 in a tertiary hospital. The Aldrete Kroulik index was used for release from the post-anesthesia recovery room and to define where the patient should be routinely referred for postoperative. RESULTS: Among the 120 patients, 83 were women and 37 men with a mean age ranging from 35.4 ± 10.5 years (18 to 66 years), body mass index 45.6 ± 10.5. The time between hospital admission and start of surgery was 140.7 ± 81.8 minutes, surgery time was 105 ± 28.6 minutes, time of post-anesthesia recovery room was between 125 ± 38 minutes and length of hospital stay was 47.7 ± 12.4 hours, with 100% of the patients walking in 24 hours. The Aldrete and Kroulik index in the post-anesthesia recovery room achieved scores of 10 to 120 minutes in all patients, with a 100% survival . CONCLUSION: Using the Aldrete and Kroulik index in the post-anesthesia of gastric bypass by video laparoscopy in primary bariatric surgery, no patient was admitted in intensive care unit and no major complication was observed.
OBJECTIVE: The purpose of this study was to determine the place of stay at postoperative and to verify medical-surgical complications that would justify admission to the intensive care unit, including death. METHODS: Cross-over, prospective, open study that evaluated 120 patients who were submitted to primary bariatric surgery by video laparoscopy from May 2007 to April 2008 in a tertiary hospital. The Aldrete Kroulik index was used for release from the post-anesthesia recovery room and to define where the patient should be routinely referred for postoperative. RESULTS: Among the 120 patients, 83 were women and 37 men with a mean age ranging from 35.4 ± 10.5 years (18 to 66 years), body mass index 45.6 ± 10.5. The time between hospital admission and start of surgery was 140.7 ± 81.8 minutes, surgery time was 105 ± 28.6 minutes, time of post-anesthesia recovery room was between 125 ± 38 minutes and length of hospital stay was 47.7 ± 12.4 hours, with 100% of the patients walking in 24 hours. The Aldrete and Kroulik index in the post-anesthesia recovery room achieved scores of 10 to 120 minutes in all patients, with a 100% survival . CONCLUSION: Using the Aldrete and Kroulik index in the post-anesthesia of gastric bypass by video laparoscopy in primary bariatric surgery, no patient was admitted in intensive care unit and no major complication was observed.
Authors: Luiz Alberto Forgiarini Júnior; Juliana Castilhos Rezende; Soraia Genebra Ibrahim Forgiarini Journal: Rev Bras Ter Intensiva Date: 2013 Oct-Dec