REZUMAT ANESTHESIA IN LAPAROSCOPIC BARIATRIC SURGERY (GASTRIC SLEEVE) PRELIMINARY EXPERIENCE Mirela Sarandan1, Carmen Guragata-Balasa2, Marius Papurica2, Ciprian Duta3, Eniko Hordovan3, Claudia Rus3, Zorin Crainiceanu4, Mihaela Mastacaneanu4 Introduction: Nowadays, bariatric surgery is the most efficient method in treating morbid obesity. These patients represent a great challenge for the anesthesiologist due to the complex anatomic and functional changes in the obese patient as well as due to the associated comorbidities. The following study analyzes our experience in the anesthetic management of a group of patients operated in the Emergency County Hospital Timisoara. Material and methods: We retrospectively studied a series of 18 obese patients who underwent laparoscopic sleeve gastrectomy (LSG) between December 2006 and May 2009. All patients have been operated under general anesthesia. We analyzed the preoperative morbidity, the anesthetic management and the immediate postoperative recovery. Results: The average body mass index (BMI) was 48.05 kg/m and the patients were both women (10) and men (8). Multiple comorbidities were encountered in both groups, but they were more frequent among women. All patients have been monitored postoperatively according to the local protocols in the intensive care unit (ICU); there were no anesthetic incidents. Early postoperative complication was reported in one patient, who developed gastric fistula; she was managed surgically and fully recovered after three months. Conclusions: Specific protocols in the anesthetic management and perioperative care should be implemented to allow effective and safer treatment for this unique group of patients.