title: Bariatric surgery: is admission to the intensive care unit necessary?
abstract: OBJECTIVE
  The purpose of this study was to determine the place of stay at postoperative and to verify medical-surgical complications that would justify admission to the intensive care unit, including death.
  
  
  METHODS
  Cross-over, prospective, open study that evaluated 120 patients who were submitted to primary bariatric surgery by video laparoscopy from May 2007 to April 2008 in a tertiary hospital. The Aldrete Kroulik index was used for release from the post-anesthesia recovery room and to define where the patient should be routinely referred for postoperative.
  
  
  RESULTS
  Among the 120 patients, 83 were women and 37 men with a mean age ranging from 35.4 ± 10.5 years (18 to 66 years), body mass index 45.6 ± 10.5. The time between hospital admission and start of surgery was 140.7 ± 81.8 minutes, surgery time was 105 ± 28.6 minutes, time of post-anesthesia recovery room was between 125 ± 38 minutes and length of hospital stay was 47.7 ± 12.4 hours, with 100% of the patients walking in 24 hours. The Aldrete and Kroulik index in the post-anesthesia recovery room achieved scores of 10 to 120 minutes in all patients, with a 100% survival .
  
  
  CONCLUSIONS
  Using the Aldrete and Kroulik index in the post-anesthesia of gastric bypass by video laparoscopy in primary bariatric surgery, no patient was admitted in intensive care unit and no major complication was observed.
authors.affiliation: Unidade de Terapia Intensiva, Hospital Universitário, Universidade Federal de Sergipe, Aracaju, SE, Brasil.
authors.forename: Saulo Maia D'Avila
authors.initials: SM
authors.lastname: Melo
authors.affiliation: Unidade de Terapia Intensiva, Hospital de Urgência de Sergipe, Aracaju, SE, Brasil.
authors.forename: Fernando Antônio Rabelo de
authors.initials: FA
authors.lastname: Vasconcelos
authors.affiliation: Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, SE, Brasil.
authors.forename: Valdinaldo Aragão de
authors.initials: VA
authors.lastname: Melo
authors.affiliation: Serviço Integrado de Gastroenterologia e Obesidade, Hospital São Lucas, Aracaju, SE, Brasil.
authors.forename: Fábio Almeida
authors.initials: FA
authors.lastname: Santos
authors.affiliation: Centro de Diabetes de Sergipe, Aracaju, SE, Brasil.
authors.forename: Raimundo Sotero de
authors.initials: RS
authors.lastname: Menezes Filho
authors.affiliation: Centro Universitário Serra dos Órgãos, Teresópolis, RJ, Brasil.
authors.forename: Bárbara Santana D'Avila
authors.initials: BS
authors.lastname: Melo