Pre-Op:  uses Clear Fast pre-op drink for bariatric cases He very much wants the bariatric protocol for his patients. Aggressive anti-nausea and pre-emptive pain control: PVLSC.

Anesthesia:  uses Exparel for his cases ERAS/opioid sparing, fluid restrictive therapy: Ketamine bolus, ofirmev pre-incision. lidocaine and propofol gtt.

Post-Op:  consider diamox 250-500mg IV for upper epigastric pain due to gas under diaphragm. No CPAP/BiPAP, it threatens the anastomosis