Perioperative Care of the Surgical Patient

The document from 2015 emphasizes the comprehensive perioperative care required for bariatric surgery patients due to the increasing prevalence of obesity and its associated risks. It outlines the need for a thorough preoperative evaluation by a multidisciplinary team to assess and manage obesity-related comorbidities and optimize surgical outcomes. Preoperative care includes recommendations for weight loss, glycemic control, and lifestyle changes. The document also details the management of postoperative complications, the importance of long-term follow-up, and nutritional support to prevent deficiencies such as anemia and vitamin deficiencies, which can lead to issues like hair loss and bone health problems. Additionally, it discusses the psychological aspects of post-surgery life, the commonality of rapid weight loss and its side effects, and the potential for significant weight regain. The document concludes that while bariatric surgery is effective in reducing mortality and comorbidities related to obesity, careful perioperative and postoperative care is crucial for patient safety and long-term well-being.