Intragastric Balloon Application Sedation Anesthesia

Intragastric balloon application is an effective treatment option which has gained popularity in recent years. The patient must be comfortable and compatible for this operation can be executed. Generally there is high anxiety (excited and nervous) level at these patients since they are in a nervous mental state because of thinking and worrying about how will conclude the operation and whether they will feel the attempt during the operation or not. A kind of sleep state that we have called “sedation” is an ideal anesthesia method for this attempt. The quality of sedation anesthesia during that short lasting attempt simplifies the attempt as well as enables it to complete without awareness of the patient. Necessary care is shown to provide the patient has a hunger level for 6 hours pre operation.

An anesthesiologist evaluates the patient before the sedation application. He learns his/her diseases have been experienced and the habits. Anxiety of the patient is important and defining it is guiding the drug doses will be administered.

Vascular access of the patient is opened before the operation. A catheter is placed in the one of veins at the hand or arm. All of the drugs and serums are given through this way later.

Whole operation is executed at the operation room with the secure conditions. After the patient has lied on the stretcher, a relaxant is given from intra venal and the patient began to be followed. The patient is admitted to operation room after enough relaxation (additional drug is given if there isn’t any change for desired level). Additional drugs are given to patient at operation room to provide more sound sleep. The attempt is begin after the providing enoygh sleep level. The patient is in the deep sleep now and he/she doesn’t hear and feel anything almost. When asked to them, the patients have stated that they didn’t remember anything after, our experience of over 450 cases performed by A/P Dr. Halil COSKUN in our application center. Most of them have indicated that they didn’t believe at the first period that the ballooon has been inserted. The mean duration for all of this implementation is 20 – 25 minutes.

The patient is admitted to the rest room in the operation room after the attempt. He/she is kept waiting here and observed and sent to the room when the vigilance level reach to desired level. The patient keeps sleeping if he/she spent the night sleepless and tired, but responses if spoken. Our patients are discharged with suggestions after keeping under observation for 4-6 hours at hospital.

Intragastric balloon removal operation is executed in the same way by implementing of sedation anesthesia. Our patients are discharged after keeping under observation for 2 hours after the removal of the balloon.

Sedation anesthesia is a very ideal and secure method. But it should not be forgotten that this ways to provide sleeping should not be applied without anesthesiologist and full equipped operation room. Because the immediate distribution of sedative drugs differs as to the fat mass index could be high at the obese persons. It should be took care to comply with the rules for providing the highest level safety of the patient.

Assoc. Prof. Halil Coskun