Objective:

To compare moderate and deep neuromuscular blockade (NMB) in laparoscopic One-Anastomosis Gastric Bypass (OAGB) surgery, focusing on surgical field quality, lung mechanics, hemodynamic parameters, and immediate postoperative complications.

Approach:

Key Findings:

• Deep NMB may improve surgical visibility and reduce intra-abdominal pressure during laparoscopic OAGB.
• Postoperative pulmonary atelectasis was assessed using chest CT.
• Multimodal analgesia was employed to manage postoperative pain effectively.

Interpretation:

The study aims to provide insights into the effects of NMB depth on surgical outcomes and postoperative complications in bariatric surgery.

Limitations:

• Blinding may not have been fully maintained due to the nature of neuromuscular blockade.
• The study's findings are limited to the specific surgical procedure and patient population.

Conclusion:

The study evaluates the impact of NMB depth on surgical and postoperative outcomes in laparoscopic OAGB, contributing to the understanding of anesthesia management in bariatric surgery.

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