Anaesthetic Management of Bariatric Surgery by Using Combination of Low Dose Dexmedetomidine and Propofol; an Alternative to Conventional Opioids and Inhalational Anaesthetics

Abstract

Obesity is increasing like an epidemic; number of bariatric surgeries is also increasing proportionately. Obese patients are very prone to develop respiratory depression and hemodynamic instability due to anatomical and physiological factors. These problems are magnified by use of opioids and most of the inhalational agents which are used very frequently in bariatric surgery. We are presenting a case report with use of alternative method –combination of low dose dexmedetomidine and propofol. This study highlights their many benefits over other established techniques of anaesthesia like reduced other anaesthetic requirement during surgery, good hemodynamic stability, better recovery profile, less analgesic use, no need of ventilator support and less physiotherapy requirement in postoperative period along with better affordability and availability.