ERAS Protocol in Bariatric Surgery

The obese patient and, in particular, the morbid patient, represent one of the greatest challenges for the anesthesiologist, not only due to the difficulties in managing the airway, but also due to all the comorbidities associated with the disease, and its consequent repercussion on organs and systems. This places the obese at a clear disadvantage with respect to the normal patient from all points of view: medical, due to the countless anatomophysiological alterations; Diagnosis, since any technique, however simple it may be, (radiography, ultrasound, venous access, obtaining non-invasive blood pressure, etc.) is difficult and can delay diagnosis and practice, due to the difficulty in transfers, early mobilizations, among others. This means that the anesthetic-surgical act must be meticulously planned to anticipate the appearance of possible complications. There are various treatments that can be used to avoid it, they cover behavioral, dietary and medical aspects, but they are often close to failure due to how demanding they can be, this being the moment in which the patient accesses the bariatric surgery.