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The Beneficial Effects of Adding Magnesium Sulphate to General Anesthesia for Laparoscopic Sleeve Gastrectomy

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

Background: Obesity is a significant health issue. It was estimated that about 700 million were obese. Some call this trend the “New World Syndrome".
Aim of the work: The study aims to compare between intravenous injections of one to two grams of magnesium sulfate [MgSO4] in patients scheduled for elective laparoscopic sleeve gastrectomy.
Patients and methods: It is a multicenter study, which included 800 patients who were scheduled for elective laparoscopic sleeve gastrectomy under general anesthesia; all patients were randomly grouped into two equal groups [n = 400]. The first group for one gram and the second group for two grams of MgSO4 over 10 minutes immediately after induction of anesthesia and before starting surgery. Then, all were assessed postoperatively for different variables.
Results: The duration of full recovery was significantly shorter, intensive care unit admission and postoperative pain immediately after recovery till the end of the first 18 hours was lower in M2 when compared to the M1 group. Postoperative respiratory depression, nausea, and vomiting were significantly decreased. The number of early ambulation was significantly increased, while the length of stay was significantly reduced in the M2 group. Intraoperative bleeding and pain after 18 hours showed a non-significant difference between both groups. Postoperative bleeding was reported in two patients in the M2 group and returning to the operating room again within 6 hours and managed by blood transfusion and surgical laparoscopy. No patients suffered from deep vein thrombosis or any other complications.
Conclusion: Adding MgSO4 to general anesthesia in laparoscopic sleeve gastrectomy had beneficial effects, which increased by increasing the dose from one to two grams.

DOI

10.21608/ijma.2020.121320

Keywords

general anesthesia, Obesity, Magnesium sulphate, Laparoscopic, sleeve gastrectomy

Authors

First Name

Mahmoud Gaballah Montasser

Last Name

Ali

MiddleName

-

Affiliation

Department of Anesthesia and Intensive Care, Al-Ansar Private Hospital, Jeddah, KSA [Department of Anesthesia and Intensive Care, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

gaballehmd@yahoo.com

City

-

Orcid

-

First Name

Ayman Saleh Mohamed

Last Name

Ragab

MiddleName

-

Affiliation

Department of Anesthesia and Intensive Care, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.aymansaleh72@yahoo.com

City

Dakahlia

Orcid

-

First Name

Adel Al-Hady Ahmed

Last Name

Diab

MiddleName

-

Affiliation

Department of Anesthesia and Intensive Care, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

adeldiab@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-08-18

Publish Date

2021-01-01

Page Start

989

Page End

904

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 989-904.pdf

PDF . 1.3MB

Link

https://ijma.journals.ekb.eg/article_121320.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=121320

Order

1

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

The Beneficial Effects of Adding Magnesium Sulphate to General Anesthesia for Laparoscopic Sleeve Gastrectomy

Details

Type

Article

Created At

22 Jan 2023