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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.

17/12/2016
Gent

Does the SAD have any place in Obese patients?

08/12/2016
UCL

Pro-Con debate: Opioid free general anesthesia?

19/11/2016
Brussel

Hoe OFA implementeren in de derde wereld?

16/11/2016
Sint-Truiden

Der obese patient.

04/11/2016
BASEL SGAR

What extra ERAS recommendations do we need for obese patients.

28/10/2016
Sydney

Opioid free anesthesia in bariatric surgery and beyond ASA.

24/10/2016
Chicago ISPCOP

Sedaties in de anesthesiologie.

05/10/2016
Den Haag

New anti atelectasis strategies for optimizing ventilation in the morbidly obese.

24/09/2016
Timisoara ESCTAIC

Opioid reduction to the max.

07/09/2016
Bern

Impact of anesthesia on inflammation. do we need further research?

18/08/2016
UCL

Efficiency in Bariatric Anesthesiology

08/06/2016
Spakenburg

Post operative ventilation in obese patients

30/05/2016
London

Anaesthesia (opioid free) in Bariatric Surgery.

21/04/2016
Moscow

Optimizing deep Muscle paralysis and insufflation pressure during abdominal laparoscopic surgery.

26/03/2016
Taipei

Anesthetic technique in laparoscopic surgery and ventilation setting for morbidly obese patients.

25/03/2016
Bangkok

iologic and anaesthetic considerations in optimizing clinical outcome in high risk patients. Do we need Sevoflurane?

24/03/2016
Singapore

Anaesthetic considerations in optimizing clinical outcome.

23/03/2016
Zhongda Hospital Eastsouth University Nanjing

Efficiency in Anesthesiology.

22/03/2016
Zhengzhou Medical University

Improve total outcome in obese patients by adapting anesthesia.

21/03/2016
KunMing China

Improving surgical outcome in bariatric patients.

20/03/2016
Hong Kong

Pourquoi et comment éviter les opioids?

11/03/2016
JEPU Paris

Sedaties in de anesthesiologische praktijk: visie vanuit Vlaanderen.

09/03/2016
CEEA Den Haag

Enhanced recovery after bariatric surgery.

04/02/2016
Rome

Enquete peri operatieve activiteit in Belgie.

30/01/2016
België

Key points for bariatric anesthesia.

29/01/2016
Diest

Anesthesie bij risico patienten.

22/01/2016
Brugge

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.

01/01/2016
London

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.

01/01/2016
London

Deep neuromuscular blockade versus remifentanyl or sevoflurane to augment measurable laparoscopic workspace during bariatric surgery.

01/01/2016
London

623 answers for World Survey on opioid free anaesthesia (OFA) today.

01/01/2016
London

Comparison of opioid free anaesthesia with opioid anesthesia on postoperative shivering in morbidly obese patients scheduled for bariatric surgery.

01/01/2016
London

Live anesthesia demonstraties in Az Sint Jan voor bariatrische anesthesia. (CAPE: Clinical Anesthesia Programme)

01/01/2016
Brugge

Anesthesie voor risico patienten.

26/02/2015
Vives Brugge

Optimized concepts for NMB management.

05/02/2015
Madrid

Zorginspectie Vlaanderen en Safety First.

31/01/2015
SBAR

Dexdor het ultieme sedatiemiddel bij opiaat vrije bariatrische anesthesie.

17/01/2015
Congress Utrecht NVAM

OFA Roeselare.

01/01/2015
Roeselare

ERAS and obesity pan arabic.

01/01/2015
ERAS Dubai

How to improve surgical outcome PAN arabic.

01/01/2015
ERAS Dubai

Low vs Standard Pneumoperitoneum Pressure during Abdominal Laparoscopic Surgery.

01/01/2015
NIAS Mexico city

Optimierte Konzepte für das NMB-Management.

Sedation of obese patients in remote locations.

20/12/2014
ESPCOP Ghent

What you should know as an anaesthesiologist to help improve the bariatric surgical outcome.

02/05/2014
IFSO Brussels

Anaesthesia without opioids might reduce obstructive breathing, silent aspiration and post-operative pain in morbidly obese patients.

02/05/2014
IFSO Brussels

Best Practices in the OR: Anaesthesia-Surgery cooperation during RNY gastric bypass surgery.

02/05/2014
IFSO Brussels

Anesthesiologist ́s view on metabolic syndrome.

30/04/2014
IFSO Brussels

OFA Mogelijk? Voordelen, Nadelen en Moeilijkheden?

04/04/2014
VVOV Blankenberge

Why and how using protective lung ventilation in anaesthesia for morbid obese patients.

27/03/2014
Siastok Budapest

Pourquoi et comment éviter les opioïdes en anesthésie ambulatoire?

22/03/2014
JEPU Paris

Le syndrome du compartiment abdominal durant la laparoscopie.

21/03/2014
JEPU Paris

Safe sedation in morbid obese patients.

17/03/2014
ISICEM Brussels

Anesthesia for the high risk patient.

14/02/2014
Vives Brugge

Ventilation of morbid obese patients Networks in anesthesia.

06/02/2014
Prague

Opioid vrije anesthesie. Voordelen, Nadelen en Moeilijkheden.

06/02/2014
Vives Brugge

The place of Nicardipine in the opioid free anaesthesia and the Peri operative hypertension treatment.

30/01/2014
Middelheim

Assessing Abdominal Compliance and the Impact on Intra-abdominal Volume.

01/01/2014
Networks in anesthesia Mexico

Case Studies in Patients with Different Abdominal Elastance Patterns.

Keypoints that are important for morbidly obese patients.

01/01/2014
ESA Stockholm

Best Practice Video lecture.

01/01/2014
Montreal

Opioid free anaesthesia.

01/01/2014
Munster

OFA Why and How.

01/01/2014
Mortsel

OFA ASA

01/01/2014
New Orleans

Controlled hypotension during opioid free anaesthesia.

01/01/2014
Moorsel

When is deep NMB needed TARK.

Anaesthesia for endoscopic nasal surgery.

01/01/2014
LOK Brugge

Bleeding and leak prevention.

01/01/2014
Breda

ERAS and Obesity.

01/01/2014
Breda

Opioid free anaesthesia.

01/01/2014
SIVA Cardiff

.

Bariatric anesthesia subspeciality?

01/01/2014
London Ethicon

Best Practice video lect.

01/01/2014
London Ethicon

Pourquoi et comment éviter les opioïdes en anesthésie ambulatoire ?

01/01/2014
JEPU Paris

Le syndrome du compartiment abdominal durant la laparoscopie.

01/01/2014
JEPU Paris
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