S Fyneface-Ogan1, D S Abam, C Numbere. 1. Department of Anaesthesiology, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt, Nigeria. soglonye@yahoo.com
Abstract
BACKGROUND: The prevalence of obesity is on the upward trend world-wide. This epidemic has challenging implications for anaesthetists, following the anthropometric changes associated with the disease. OBJECTIVE: To highlight some of the challenges, the management and the lessons learnt during the management of this patient. METHODS: This is a case report of a 52-year old super morbidly obese, diabetic, and hypertensive patient that presented for total abdominal hysterectomy. Surgery was carried out under a single-shot spinal anaesthesia with bupivacaine/fentanyl. RESULTS: Under bupivacaine/fentanyl anaesthesia, she became very drowsy and had moderate to severe respiratory depression. She was arousable but had an obstructive sleep apnoea. Surgery was carried out successfully CONCLUSION: A better understanding of the pathophysiology and complications that accompany obesity is needed to manage an obese patient under anaesthesia.
BACKGROUND: The prevalence of obesity is on the upward trend world-wide. This epidemic has challenging implications for anaesthetists, following the anthropometric changes associated with the disease. OBJECTIVE: To highlight some of the challenges, the management and the lessons learnt during the management of this patient. METHODS: This is a case report of a 52-year old super morbidly obese, diabetic, and hypertensivepatient that presented for total abdominal hysterectomy. Surgery was carried out under a single-shot spinal anaesthesia with bupivacaine/fentanyl. RESULTS: Under bupivacaine/fentanyl anaesthesia, she became very drowsy and had moderate to severe respiratory depression. She was arousable but had an obstructive sleep apnoea. Surgery was carried out successfully CONCLUSION: A better understanding of the pathophysiology and complications that accompany obesity is needed to manage an obesepatient under anaesthesia.
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