morbide obesitas extreme obesity Morbid obesity
Conditions
Interventions
None listed
Sponsors
Sint Antonius Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients with a Body Mass Index > 40 kg/m2 undergoing laparoscopic banding or gastric bypass surgery, 18-60 years old, American Society of Anaesthesiologists (ASA) physical status II to III.
Exclusion criteria
Exclusion criteria: Pregnancy, breastfeeding, known allergy for cefazolin, morphine, nadroparin, atracurium, or benzene sulphonic acid. History of coagulation disorder or history of heparin/LMWH induced thrombocytopenia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoints to evaluate in morbidly obese patients are; - pharmacokinetic parameters of cefazolin in blood; - pharmacokinetic parameters of morphine and metabolites in blood; - time course of anti-factor Xa levels in blood following nadroparin; - time course of the pharmacodynamic effect of atracurium. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints to evaluate in morbidly obese patients are: - to compare primary endpoints (obtained in morbidly obese patients) with data of non-obese patients - the occurrence of postoperative wound infections; - postoperative pain scores, sedation scores and nausea scores; - the occurrence of bleedings or thrombotic events ; - required amounts of morphine (PCA); - to compare the time course of the pharmacodynamic effect of two different doses of atracurium. | — |
Countries
Netherlands
Outcome results
None listed