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COVID-19 en obesitas
Tijdens de COVID-19-pandemie kwamen er geregeld alarmerende berichten dat naast oudere patiënten ook meer mannen met zwaarlijvigheid of obesitas ernstig…
Paradigmashift in de anesthesiologische praktijk: naar een opiaatvrije anesthesie?
De klassieke algehele anesthesie bestaat uit drie hoekstenen: hypnose of slaap, immobilisatie door curarisatie en analgesie of pijnstilling. Deze drie elementen vullen we doorgaans aan met een vierde pijler: controle van het sympathische zenuwstelsel. Twee generaties anesthesiologen hebben steeds op basis van dit stramien gewerkt, en dit sinds de introductie van intraveneuze barbituraten, curares en opiaten. Wordt dit paradigma nu verlaten?
Volledige standaardisatie van de laparoscopische gastric bypass
Morbide obesitas is een chronische aandoening, geassocieerd met een verhoogd mortaliteitsrisico en met een groot aantal co-morbiditeiten (diabetes type 2, arteriële hypertensie, obstructief slaapapneu syndroom, hypercholesterolemie, gewrichtsproblematiek, …). De Wereldgezondheidsorganisatie (WHO) heeft obesitas uitgeroepen tot epidemie van de 21ste eeuw.
Anaesthetic Factors Affecting Outcome After Bariatric Surgery, a Retrospective Levelled Regression Analysis.
Obesity surgery 29: 6. 1841-1850 Jun.
Is opioid-free general anesthesia for breast and gynecological surgery a viable option?
Current opinion in anaesthesiology 32: 3. 257-262 Jun.
Is the Balance in Anesthesia Right? Multitarget Approach and Alteration of Systemic Inflammation.
Anesthesia and analgesia 128: 6. Jun.
Twelve-Year Experience with Roux-en-Y Gastric Bypass as a Conversional Procedure for Vertical Banded Gastroplasty: Are We on the Right Track?
Obesity surgery Jun.
Perioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery: A Review and Consensus Recommendations.
JAMA otolaryngology-- head & neck surgery Jun.
Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations.
British journal of anaesthesia Oct.
Perioperative opioids aggravate obstructive breathing in sleep apnea syndrome:mechanisms and alternative anesthesia strategies.
Current opinion in anaesthesiology 29: 1. 129-133 Feb. 2016
Optimal Surgical Conditions in Laparoscopic Surgery: Just Relax and Lower the Pressure.
Anesthesia and analgesia 122: 1. Jan. 2016
The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 2: measurement techniques and management recommendations.
Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):406-32. doi: 10.5603/AIT.2014.0063. Review. PubMed PMID: 25432559.
Failure of sugammadex to reverse rocuronium-induced neuromuscular blockade: Simply an outlier or are we missing something?
Eur J Anaesthesiol. 2015 Oct;32(10):743-4. doi: 10.1097/EJA.0000000000000301. PubMed PMID: 26132985.
Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting.
J Eval Clin Pract. 2015 Apr;21(2):205-14. doi: 10.1111/jep.12288. Epub 2014 Dec 11. PubMed PMID: 25496600; PubMed Central PMCID:PMC4406160.
Sedation options for the morbidly obese intensive care unit patient: a concise survey and an agenda for development.
Multidiscip Respir Med. 2015 Mar 7;10(1):8. doi: 10.1186/s40248-015-0007-2. eCollection 2015. PubMed PMID: 25883785; PubMed Central PMCID: PMC4399437. d
Factors determining the smooth flow and the non-operative time in a one-induction room to one-operating room setting.
Journal of evaluation in clinical practice 21: 2. 205-214 Apr.
Sedation options for the morbidly obese intensive care unit patient: a concise survey and an agenda for development.
Multidisciplinary respiratory medicine 10: 1. 03.
The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 1: definitions and pathophysiology.
Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):392-405. doi: 10.5603/AIT.2014.0062. Review. PubMed PMID: 25432558.
The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 2: measurement techniques and management recommendations.
Anaesthesiology intensive therapy 46: 5. 406-432 Nov/Dec.
High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial.
Lancet. 2014 Aug 9;384(9942):495-503. doi: 10.1016/S0140-6736(14)60416-5. Epub 2014 Jun 2. PubMed PMID: 24894577.
A COMPREHENSIVE GUIDE TO ORTHOFACIAL SURGERY vol 1 planning and operative techniques chapter: Anaesthesia for facial surgeons by J Mulier.
isbn:9789080776500.
A review of the interest of sugammadex for deep neuromuscular blockade management in Belgium.
Acta anaesthesiologica Belgica 64: 2. 49-60.
Controversies in the Anesthetic Management of the Obese Surgical Patient Springer.
Book chapters
Measuring intraoperative nociception.
Does the SAD have any place in Obese patients?
Pro-Con debate: Opioid free general anesthesia?
Hoe OFA implementeren in de derde wereld?
Der obese patient.
What extra ERAS recommendations do we need for obese patients.
Opioid free anesthesia in bariatric surgery and beyond ASA.
Sedaties in de anesthesiologie.
New anti atelectasis strategies for optimizing ventilation in the morbidly obese.
Opioid reduction to the max.
Impact of anesthesia on inflammation. do we need further research?
Efficiency in Bariatric Anesthesiology
Post operative ventilation in obese patients
Anaesthesia (opioid free) in Bariatric Surgery.
Optimizing deep Muscle paralysis and insufflation pressure during abdominal laparoscopic surgery.
Anesthetic technique in laparoscopic surgery and ventilation setting for morbidly obese patients.
iologic and anaesthetic considerations in optimizing clinical outcome in high risk patients. Do we need Sevoflurane?
Anaesthetic considerations in optimizing clinical outcome.
Efficiency in Anesthesiology.
Improve total outcome in obese patients by adapting anesthesia.
Improving surgical outcome in bariatric patients.
Pourquoi et comment éviter les opioids?
Sedaties in de anesthesiologische praktijk: visie vanuit Vlaanderen.
Enhanced recovery after bariatric surgery.
Enquete peri operatieve activiteit in Belgie.
Key points for bariatric anesthesia.
Anesthesie bij risico patienten.
A randomized double blind study evaluating the effect of opioid free versus opioid anesthesia on postoperative pain and discomfort in 50 laparoscopic bariatric surgery patients.
Opioid free (OFA) versus opioid (OA) and low opioid anesthesia (LOA) for the laparoscopic gastric bypass surgery. Immediate post operative morbidity and mortality in a single center study on 5061 consecutive patients from March 2011 till June 2015.
Deep neuromuscular blockade versus remifentanyl or sevoflurane to augment measurable laparoscopic workspace during bariatric surgery.
623 answers for World Survey on opioid free anaesthesia (OFA) today.
Comparison of opioid free anaesthesia with opioid anesthesia on postoperative shivering in morbidly obese patients scheduled for bariatric surgery.
Live anesthesia demonstraties in Az Sint Jan voor bariatrische anesthesia. (CAPE: Clinical Anesthesia Programme)
Anesthesie voor risico patienten.
Optimized concepts for NMB management.
Zorginspectie Vlaanderen en Safety First.
Dexdor het ultieme sedatiemiddel bij opiaat vrije bariatrische anesthesie.
OFA Roeselare.
ERAS and obesity pan arabic.
How to improve surgical outcome PAN arabic.
Low vs Standard Pneumoperitoneum Pressure during Abdominal Laparoscopic Surgery.
Optimierte Konzepte für das NMB-Management.
Sedation of obese patients in remote locations.
What you should know as an anaesthesiologist to help improve the bariatric surgical outcome.
Anaesthesia without opioids might reduce obstructive breathing, silent aspiration and post-operative pain in morbidly obese patients.
Best Practices in the OR: Anaesthesia-Surgery cooperation during RNY gastric bypass surgery.
Anesthesiologist ́s view on metabolic syndrome.
OFA Mogelijk? Voordelen, Nadelen en Moeilijkheden?
Why and how using protective lung ventilation in anaesthesia for morbid obese patients.
Pourquoi et comment éviter les opioïdes en anesthésie ambulatoire?
Le syndrome du compartiment abdominal durant la laparoscopie.
Safe sedation in morbid obese patients.
Anesthesia for the high risk patient.
Ventilation of morbid obese patients Networks in anesthesia.
Opioid vrije anesthesie. Voordelen, Nadelen en Moeilijkheden.
The place of Nicardipine in the opioid free anaesthesia and the Peri operative hypertension treatment.
Assessing Abdominal Compliance and the Impact on Intra-abdominal Volume.
Case Studies in Patients with Different Abdominal Elastance Patterns.
Keypoints that are important for morbidly obese patients.
Best Practice Video lecture.
Opioid free anaesthesia.
OFA Why and How.
OFA ASA
Controlled hypotension during opioid free anaesthesia.
When is deep NMB needed TARK.
Anaesthesia for endoscopic nasal surgery.
Bleeding and leak prevention.
ERAS and Obesity.
Opioid free anaesthesia.
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