Does Pre-operative Patients' Education Facilitates Emergence of Anesthesia Following Bariatric Surgery?

Study Overview
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Brief Summary
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The recovery and emergences from anesthesia is a critical phase. Previous studies focused on pharmological and anesthetics techniques to improve the quality of this stage (duration, complications). In this study, our first aim is to test the impact of pre operative education on the post operative recovery for morbidly obese patient underwent laparoscopic bariatric surgery.

Detailed Description
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The purpose of our study is to compare post operative immediate recovery and emergence for educated and non educated morbidly obese patients underwent laparoscopic bariatric surgery. Elligibles patients are informed and consented by anesthesiologist. Patients are randomized in 2 groups (G1: educated, G2:non-educated) Patient of G1 are educated in OR before starting anesthesia. This education includes : information about anesthesia emergence, recovery and extubation. Anesthesia and education are conducted by the same anesthesiologist. All patients are operated by the same surgeon. All patients receive same balanced general anesthesia protocol. The recovery starts immediately after the end of the procedure, when the patient has BIS ≥90 and TOF≥9. Recovery assessment and data recording is done by a blinded anesthesiologist.

Official Title
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Does Pre-operative Patients' Education Facilitates Emergence of Anesthesia Following Bariatric Surgery?

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: pre operative education
* Behavioral: pre operative education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults more than 18 years old. ASA 2. BMI more than 35. scheduled for laparoscopic sleeve gastrectomy or gastric bypass surgery. Exclusion Criteria: Renal impairment. Hepatic dysfunction. Alcohol or drug abuse. Disabling Central nervous or cerebrovascular diseases. Treatment with opioids or any psychoactive medication. Inappropriate Mini mental state exam.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: safety of Anesthesia<br>No pre operative education | |
| Experimental: Behavioral : pre operative education<br>Behavioral pre operative education | Behavioral: pre operative education<br>* Patients will be randomized in 2 groups (G1: educated, G2:non-educated) In the operating room and before starting anesthesia G1 will receive a pre operative education about anesthesia emergence, recovery and extubation.<br>Behavioral: pre operative education<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of anesthesia recovery |  | 6 hours |