Nursing Care for Morbid Obesity by General Anesthesia in Laparoscopic Sleeve Gastrectomy: Case study

Abstract

Laparoscopic Sleeve gastrectomy is the treatment of choice for treating morbid obesity that failure from using other methods, Morbid obesity cause a various systemic diseases such as cardiovascular problems, Cerebrovascular desease, hypertension, obstructive sleep apnea, gastrointestinal problems and resulting increase complications in the general anesthesia procedure. Anesthetists nurse has an important role in providing nursing and anesthesia by use nursing procedures. For this reason, pre-anesthesia assessment, planning, and monitoring are very importance for the patient’s safety and to prevent the post operative complications. This study is present 2 patients who underwent the Laparoscopic Sleeve Gastrectomy under general anesthesia. Result of study show Case study 1: Thai female 23 years old, her chief complaint is dyspepsia, 1 day before admission. The diagnosis was morbid obesity and gall stone. She was treated with LSG under GA. Intraoperative complications were hypoxia (O2 sat 95%) and apnea. post operative complications in the recovery room were apnea, shivering and post operative pain due to combine Cholecystectomy. After solving the problems use nursing procedures to be safe and review the knowledge before returning home so that the patient can take care of himself. 7 days of admission in Chonburi Hospital. Case study 2: Thai male 29 years old. The physician given the diagnosis is super morbid obesity, then decide to the surgery for him. Evaluation found difficult intubation, ventilation in the general anesthesia and Video laryngoscope method was used to do the intubation. Intraoperative complications are hypotension (80/40 mmHg) due to Amlodipine 5 mg was given as a preoperative drug, hypoxia (O2 sat 90%), oliguria in the second hour of operation, 11 days for admission in Chonburi Hospital.

Anesthetists nurse has an important role in providing nursing and anesthesia by use nursing procedures. For this reason, pre-anesthesia assessment, planning, and monitoring are very importance for the patient’s safety and to prevent the postoperative complications.