Analysis of application effect of different anesthesia protocols in patients undergoing bariatric surgery
Objective To explore whether deep neuromuscular blockade combined with nerve block can improve the prognosis of patients undergoing bariatric surgery.Methods A retrospective analysis of data from patients who under-went laparoscopic sleeve gastrectomy under general anesthesia from January 2018 to December 2019.The patients were divided into three groups according to whether deep neuromuscular blockade and nerve block were performed during sur-gery:Non-Deep Neuromuscular Blockade group(ND),Deep Neuromuscular Blockade group(D),and Deep Neuro-muscular Blockade Combined with Nerve Block group(DN).The duration of surgery,length of hospital stay,ICU ad-mission rate,hospitalization costs,and the number of postoperative analgesic and antiemetic medication usage were col-lected for all three groups.Results Compared to the ND group,both the D and DN groups had significantly shorter op-eration durations(P＜0.05),the DN group had a significantly shorter length of hospital stay(P＜0.05).Compared to the ND group,both the D and DN groups had significantly higher hospitalization costs(P＜0.05).Compared to the ND group,the number of analgesic medication usage decreased significantly in the D group at 32-48 hours post-surgery,and in the DN group at 16-48 hours post-surgery(P＜0.05).Compared to the D group,the number of analgesic medication usage decreased significantly in the DN group at 16-24 hours post-surgery(P＜0.05).Compared to the ND group,the number of antiemetic medication usage decreased significantly in the DN group at 12-48 hours post-surgery(P＜0.05).Compared to the D group,the number of antiemetic medication usage decreased significantly in the DN group at 12-48 hours post-surgery(P＜0.05).Conclusion Deep neuromuscular blockade combined with nerve block can shorten the duration of surgery and hospital stay,reduce the usage of postoperative analgesic and antiemetic medications,and facilitate the accelerated recovery of patients.
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