Gastric bypass and On-Q pump: effectiveness of Soaker Catheter system on recovery of bariatric surgery patients.

Background: The continuous infusion of ropivacaine is effective in controlling pain for a wide variety of surgical procedures and reducing opioid adverse effects and dependency. The present study assessed the efficacy of ropivacaine infusion using the I-Flow dual Soaker Catheter system at the surgical site for bariatric surgery recovery at the Dallas Veterans Affairs Medical Center Hospital (Dallas, TX). We hypothesized that patients receiving ropivacaine would report lower levels of morphine requirement and pain, would have shorter hospital stays, and would return to ambulating faster than patients in the control group.

Metoclopramide does not influence the frequency of propofol-induced spontaneous movements.

Study Objective: To evaluate the effects of metoclopramide on the frequency and severity of propofol-induced movements.

Design: Randomized, double blind, placebo-controlled trial.

Setting: Veterans Administration Medical Center.