RELIEFCALL · ONE-PAGE SUMMARY

BAR-8842

Bariatric · Sleeve gastrectomy · laparoscopic · supine · Dr. Elena Voss

Surgery Nov 20, 2026, 7:30 AM · Arrival Nov 20, 2026, 5:30 AM · Age 44 · female · BMI 48 · ASA 3

ERAS pathway: ANESTHESIA REVIEW REQUIRED

Anesthesia consult: YES · Apfel 3 (Female, Non-smoker, Postoperative opioids expected) · Red flag: No

Block: TAP block or wound infiltration

Counseling and shared expectations	GO	baseline
Prehabilitation	GO	baseline
Carbohydrate drink	HOLD	safe_glp1_high_carb
Clear liquids	MODIFY	safe_glp1_high_fast
Solid food fasting	MODIFY	safe_glp1_high_fast
No long-acting sedative premedication	GO	baseline
GLP-1 receptor agonist plan	MODIFY	path_glp1_high
Liver-shrink diet	GO	baseline
Surgical approach	GO	path_mis
Acetaminophen	GO	baseline
NSAID or COX-2	GO	baseline
Dexamethasone	GO	baseline
Regional or neuraxial block	GO	baseline
PONV prophylaxis	MODIFY	safe_ponv
Goal-directed fluids	GO	baseline
Normothermia	GO	baseline
Glucose control	GO	baseline
VTE prophylaxis	MODIFY	safe_bariatric_vte
Avoid long-acting opioids	GO	baseline
Early oral intake	GO	baseline
Early mobilization	GO	baseline
Urinary catheter removal	GO	baseline
Avoid routine drains	GO	baseline
Avoid routine nasogastric tube	GO	baseline
OSA precautions	MODIFY	baseline