Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026
Comparison of Balanced General Anesthesia Protocols in Sleeve Gastrectomy Surgery with Respect to Postoperative Opioid Consumption.
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Uckun Serkan, Demir Hafize Fusun, Ugun Fatih, Kocaoglu Bugra Nazan, Sagir Ozlem, Koroglu Ahmet
Аннотация
PURPOSE: To evaluate the effects of two different anesthesia management techniques applied to sleeve gastrectomy patients on postoperative opioid consumption.
DESIGN: Retrospective archival review observational study.
METHODS: The hospital data management system scanned the files of 205 sleeve gastrectomy surgeries performed between June 2024 and March 2025. Patients who received fentanyl and/or ketamine as part of their standard anesthesia protocol and were managed with patient-controlled analgesia were included in the study.
FINDINGS: The primary outcome measured in the study, opioid consumption, was significantly higher in the control group compared to the ketamine infusion group.
CONCLUSIONS: In patients with increased postoperative opioid consumption due to obesity, the addition of intraoperative ketamine infusion may be a viable option for balanced anesthesia management.
DESIGN: Retrospective archival review observational study.
METHODS: The hospital data management system scanned the files of 205 sleeve gastrectomy surgeries performed between June 2024 and March 2025. Patients who received fentanyl and/or ketamine as part of their standard anesthesia protocol and were managed with patient-controlled analgesia were included in the study.
FINDINGS: The primary outcome measured in the study, opioid consumption, was significantly higher in the control group compared to the ketamine infusion group.
CONCLUSIONS: In patients with increased postoperative opioid consumption due to obesity, the addition of intraoperative ketamine infusion may be a viable option for balanced anesthesia management.