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01-06-2019 | Bariatric Surgery | Brief Communication

Intraoperative Blood Pressure Lability Is Associated with Postoperative Hemorrhage after Uncomplicated Bariatric Surgery

Authors: Lee D. Ying, Andrew J. Duffy, Kurt E. Roberts, Saber Ghiassi, Matthew O. Hubbard, Geoffrey S. Nadzam

Published in: Obesity Surgery | Issue 6/2019

Abstract

Background

Postoperative hemorrhage is a rare complication in bariatric surgery. We aim to determine if differences in blood pressure or perioperative medication administration contribute to postoperative bleeding in patients who were hemodynamically stable intraoperatively.

Methods

This was a retrospective case-control study of all bariatric surgery patients from 2014 to 2017 at a high volume academic center. We identified controls based on age, gender, ethnicity, type of procedure, and pre-operative blood pressure.

Results

Patients with postoperative hemorrhage had a significantly lower MAP during the portion of the surgery in which the abdominal contents were inspected for leaks and bleeds. The timing of enoxaparin or ketorolac administration was not associated with bleeding.

Conclusion

Blood pressure lability, but not enoxaparin or ketorolac administration, is associated with postoperative hemorrhage.

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Title: Intraoperative Blood Pressure Lability Is Associated with Postoperative Hemorrhage after Uncomplicated Bariatric Surgery
Authors: Lee D. Ying
Andrew J. Duffy
Kurt E. Roberts
Saber Ghiassi
Matthew O. Hubbard
Geoffrey S. Nadzam
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Bariatric Surgery
Bariatric Surgery
Enoxaparin
Published in: Obesity Surgery / Issue 6/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-019-03839-y

At a glance: The STEP trials

Springer Medicine

Intraoperative Blood Pressure Lability Is Associated with Postoperative Hemorrhage after Uncomplicated Bariatric Surgery

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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