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http www alabariatrics com 100%

(256) 203-8791 Home Bariatric Travel Program Bariatric Surgery Intragastric Balloons Prices &


11/01/2018 www.pdf-archive.com

Best Obesity Surgeons Delhi - Obesity Surgery India 72%

Below Find Information About Types Of Obesity Surgery:Laparoscopic banding gastric banding |  Bariatric Surgery in India | Intragastric Balloon Duodenal Switch Bypass Surgery | Adjustable Endoscopic Gastric Laparoscopic Biliopancreatic Diversion Effects of Weight Gain on the Body http://wecareindia.com/obesity-surgery.html For more information, medical assessment and medical quote send your detailed medical history and medical reports as email – info.wecareindia@gmail.com http://wecareindia.com/obesity-surgery.html Call:


29/05/2015 www.pdf-archive.com

ANESTHESIA for Labor and Delivery 50%

Alterations    Anesthetic Implications Weight gain/breast engorgement Hinders laryngoscopy Swollen mucosa    Easy bleeding with manipulation Upper airway obstruction Use of smaller caliber endotracheal tubes Renal Changes with Pregnancy   Anesthetic Implications MAC decreased Overdosage hazard Decreased FRC Faster induction with insoluble agents Increased VE Speeds induction with soluble agents Greater risk of Hypoxemia Alterations Decreased FRC Anesthetic Implications Less O2 reserve Increased O2 consumption Mucosal engorgement of the Respiratory Tract Rapid airway obstruction  Elevated progesterone levels o decreased gastric motility o decreased food absorption o lower esophageal sphincter tone at term  Placental secretion of gastrin o higher gastric acidity (Gastric pH ≤ 2.5) o increased gastric acid volume  Enlarged uterus o increased intragastric pressure o gastroesophageal angle flattens Clinical Significance • Increased danger of vomiting and aspiration • Acid Aspiration Pneumonia(Mendelson’s Syndrome) • All parturients are considered to have a full stomach regardless of the number of hours after last food intake • No solid food should be given to parturients and that liquids be restricted to a small amount of ice chips Medical Measures for a Full Stomach • Histamine2-blocking agents o (cimetidine, ranitidine, decrease acidity and volume • Hematologic Changes with Pregnancy     Clotting factors rise by 50-250% Hemoglobin decreases by 20% Platelet count lowered by 20% Iron and folate anemias Plasma flow and GFR increases by 50% Decreased threshold for glucose and amino acids Gastrointestinal Changes with Pregnancy Modified responses to anesthetics Alterations Dilutional anemia Platelet count – 20% ↓ The following factors are increased:


14/02/2014 www.pdf-archive.com


The researchers concluded that “the standardized continental breakfast is a physiologic and simple approach for assessing PPG [postprandial glucose] in both healthy subjects and patients with Type 2 diabetes.” They also proposed that “a mixed meal approach to glucose monitoring might be associated with better reproducibility than the OGTT since gastric emptying of solids is more reproducible than liquids, [and] intragastric fat infusion more reproducibly stimulates gastroduodenal motor activity than glucose alone.”10 Although more rigorous studies are needed to confirm this conclusion, it does suggest


22/05/2017 www.pdf-archive.com

gut 21%


26/05/2017 www.pdf-archive.com