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Case Study | Anaesthesiology | Volume 15 Issue 4, April 2026 | Pages: 1803 - 1805 | India
Comprehensive Perioperative Approach in a Morbidly Obese Patient Undergoing RYGB - A Case Based Insight
Abstract: This case report presents perioperative anaesthetic management of a super morbidly obese patient with obstructive sleep apnea undergoing bariatric surgery within an enhanced recovery pathway. The report highlights the value of multidisciplinary preparation, detailed airway planning, individualized drug dosing, lung protective ventilation, and multimodal opioid sparing analgesia in managing extreme physiological risk. Use of THRIVE preoxygenation, ramp positioning, videolaryngoscopy, desflurane-based anaesthesia, dexmedetomidine infusion, TAP block, and structured postoperative respiratory support contributed to stable intraoperative conditions and smooth recovery. Attention is given to challenges related to airway security, altered pharmacology in obesity, postoperative respiratory vulnerability, and pain control. The case also reflects how enhanced recovery protocols can support reduced complications, early mobilisation, shorter hospitalization, and improved patient outcomes in bariatric anaesthesia practice.
Keywords: Bariatric anaesthesia, enhanced recovery, morbid obesity, difficult airway management, multimodal analgesia, RYGB (Roux-en-Y Gastric Bypass)
How to Cite?: Dr. Amrita Santosh, Dr. Jueeli Barpande, Dr. Hemant Mehta, "Comprehensive Perioperative Approach in a Morbidly Obese Patient Undergoing RYGB - A Case Based Insight", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 1803-1805, https://www.ijsr.net/getabstract.php?paperid=SR26427105430, DOI: https://dx.dx.doi.org/10.21275/SR26427105430