ArticleThe Malaysian journal of medical sciences : MJMS2025
Perioperative Anaesthetic Management and Outcomes in Bariatric Surgery: A Sevenyear Retrospective Cohort Study at Hospital Pakar Universiti Sains Malaysia.
Article in The Malaysian journal of medical sciences : MJMS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Perioperative anaesthetic management in bariatric surgery presents unique challenges due to patient comorbidities and elevated perioperative risk. This study aimed to evaluate perioperative anaesthetic practices and determine factors associated with postoperative high-dependency unit (HDU) admissions among bariatric surgery patients at a tertiary centre in Malaysia. Methods: A retrospective cohort study was conducted involving 104 adult patients who underwent elective bariatric surgery between 2016 and 2022 at Hospital Pakar Universiti Sains Malaysia. Demographic, clinical, surgical, and anaesthetic data were collected. Univariate and multivariate logistic regression analyses were performed to identify factors associated with postoperative HDU admission. Results: The mean age of the patients was 42.5 years (standard deviation [SD] = 9.7), with a female predominance (68.3%) and a mean body mass index (BMI) of 49.6 kg/m Conclusion: Obesity-related diseases, particularly OSA, were highly prevalent. The incidence of difficult intubation was negligible with the use of video laryngoscopy in the ramped position. The HDU admission rates were higher than international benchmarks, influenced primarily by BMI, comorbidities, and surgery duration.
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