Depth of Anesthesia in Sleeve Surgery is Associated with Surgical Rating Score: A Cross Sectional Study

Abstract

Background: The depth of anesthesia is an important consideration during sleeve surgery, as it can impact patient safety and surgical outcomes. Proper depth of anesthesia can help to ensure patient comfort and reduce the risk of complications such as respiratory depression and hemodynamic instability. This study aimed to determine the association between the depth of anesthesia and the Surgical Rating Score in sleeve surgery.
 Methods: This study was conducted as a cross-sectional study. Twenty patients who were candidates for sleeve surgery by the laparoscopic method and were referred to Dr. Shariati Hospital from 1394 to 1395 were recruited in this study. Informed consent was obtained before the start of the study. Surgical rating scale (SRS) used to assess surgeon satisfaction. Bispectral Index (BIS) monitoring used to assess the depth of anesthesia. Patients demographics along with hemodynamic, medications, and depth of anesthesia were recorded
 Results: Twenty patients, including four men (20%) and sixteen women (80%), were examined in two groups of 10 people who underwent laparoscopic sleeve surgery (Mean age 40.20 ±8.87). The depth of anesthesia has a direct relationship with the improvement of the patient's condition and the SRS during the operation. As the observations showed, in the first group, the surgeon's satisfaction decreased as a result of the decrease in the depth of anesthesia, but this decrease was not statistically significant (P = 0.064), but in the second group, with the change of conditions and the increase in the depth of anesthesia from 60–65 to 40–45, the surgeon's satisfaction increased significantly (P = 0.018).There was no significant difference between the two groups in terms of age, sex, drugs (fentanyl, etc.), PEEP, TV, BMI, and fluid intake.
 Conclusion: In conclusion, the findings of this study suggest that the depth of anesthesia has a significant impact on the improvement of the patient's condition and surgeon's satisfaction (SRS) during surgery.