Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course
▶Ep 3 · 1:30
clinicalAprepitant is given in pre-op 1-2 hours prior to surgery and has become standard in patients with high risk for post-operative nausea↗
▶Ep 3 · 2:00
clinicalMultiple preoperative pills given in pre-op area have not been observed in the stomach during intraoperative scoping↗
▶Ep 3 · 3:00
clinicalDVT prophylaxis with Lovenox or subcutaneous heparin is administered at the start of the case, though practices vary greatly among surgeons↗
▶Ep 3 · 3:49
clinicalMinimizing narcotics helps prevent postoperative nausea, achieved by running medications like propofol at low baseline during anesthesia↗
▶Ep 3 · 4:00
clinicalOndansetron is used in the OR prior to extubation, while aprepitant is given preoperatively in holding to achieve synergistic anti-emetic effect↗
▶Ep 3 · 4:30
clinicalThe number one concern after sleeve gastrectomy is nausea, retching, and vomiting↗
▶Ep 3 · 4:30
quotethe number one thing we worry about after the sleeve is nausea. Yeah, wretching, vomiting.↗
▶Ep 3 · 4:44
clinicalHaloperidol is not used due to sedative effects that interfere with waking patients in the PACU↗
▶Ep 3 · 5:10
clinicalTotal daily acetaminophen dose should not exceed 4000 mg per day when combining IV and oral administration↗
▶Ep 3 · 6:10
clinicalOxycodone is not routinely needed and patients are not discharged home on narcotics↗
▶Ep 3 · 11:20
quoteI think it's surgical. I agree with you. I think it's myth.↗
▶Ep 3 · 19:09
epidemiological90% of adolescent bariatric procedures performed are sleeve gastrectomies↗
Summaries Kanika gave as host
· 6 summaries
Recaps of other experts' statements, not Kanika's own clinical position.
Summaries Kanika gave as host · Diabetes6 summaries
Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course
▶Ep 3 · 0:34
host summaryKanika Bowen-Jallow summarizing the discussion: ERAS recommendations for bariatric surgery include carbohydrate drink the night before surgery and clear liquids up to 2 hours prior to surgery↗
▶Ep 3 · 3:30
host summaryKanika Bowen-Jallow summarizing the discussion: ASMBS recommends DVT prophylaxis intraoperatively and postoperatively before discharge, but most patients do not go home on DVT prophylaxis unless there is a specific indication such as family history↗
▶Ep 3 · 4:10
host summaryKanika Bowen-Jallow summarizing the discussion: New literature demonstrates laparoscopic TAP block is not superior to local infiltration of incisions for pain control↗
▶Ep 3 · 5:40
host summaryKanika Bowen-Jallow summarizing the discussion: Pure oxycodone immediate-release is the ERAS recommendation for narcotic use if needed because it does not contain acetaminophen↗
▶Ep 3 · 16:31
host summaryKanika Bowen-Jallow summarizing the discussion: Adult bariatric surgeons use Air Seal insufflation system to maintain stable low pressures (10 mmHg) by regulating pressure second-to-second rather than every 20-30 seconds like standard insufflators↗
▶Ep 3 · 17:30
host summaryKanika Bowen-Jallow summarizing the discussion: Operating at lower insufflation pressures results in less TNF-alpha production and decreased postoperative pain↗