The effect of analgesia management on review quality in patients requesting obesity surgery

Introduction and purpose: Adequate pain relief in the postoperative period in obese patients is an important parameter that affects patient comfort and hospital stay. In our study, our aim was to evaluate the effect of steroid use on the quality of recovery in patients undergoing bariatric surgery in a multimodal analgesia regimen with a 40-item recovery quality scale. Material-method: Sixty patients who underwent bariatric surgery at Ondokuz Mayıs University Faculty of Medicine Hospital were included in this prospective observational study. The patients were divided into two groups as dexamethasone and non-dexamethasone used. All patients were evaluated with the QoR-40 questionnaire after 24 hours postoperatively. Opioid requirement, nausea and vomiting, anti-emetic requirement, intraoperative complication and postoperative wound infection were recorded. Results: In the dexamethasone group, the postoperative recovery quality score (QoR-40) was found to be statistically significantly higher (p<0.001). In addition, there was less need for opioids (p<0.001), less nausea (p=0.00), vomiting (p p<0.001), and less anti-emetic requirement (p<0.001) in this group. Intraoperative complications and postoperative wound infection were not observed in the patients. Conclusion: In conclusion, preoperatively administered dexamethasone resulted in less postoperative pain, nausea and vomiting, and a better recovery quality. Keywords: Sleeve gastrectomy, anesthesia management, recovery quality score, recovery quality, multimodal analgesia, PONV, steroid.