By Daniel M. Herron
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2014;8, CD008930. Davidson JE, Callery C. Care of the obesity surgery patient requiring immediate-level care or intensive care. Obes Surg. 2001;11(1):93–7. Helling TS, Willoughby TL, Maxﬁeld DM, Ryan P. Determinants of the need for intensive care and prolonged mechanical ventilation in patients undergoing bariatric surgery. Obes Surg. 2004;14(8):1036–41. Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difﬁcult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difﬁcult Airway.
4 Estrogen Therapy Any form of estrogen therapy (oral contraceptives in premenopausal women or hormone replacement therapy in postmenopausal women) should be discontinued at least 3 weeks prior to bariatric surgery to diminish the risks of perioperative venous thromboembolic phenomenon . 5 Tobacco Smoking is a well-established independent risk factor for adverse surgical outcomes irrespective of the type of procedure. Increased BMI being a naturally constant risk factor in this population, modiﬁcation of the other risk factors especially smoking is of utmost importance.
3. Juvin P, Lavaut E, Dupont H, Lefevre P, Demetriou M, Dumoulin JL, et al. Difﬁcult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003;97(2):595–600. table of contents. 4. Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Islam S, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108(5):812–21. 5. Kheterpal S, Martin L, Shanks AM, Tremper KK. Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics.