Anesthetic management for super-super morbidly obese patient

  • Mesut Erbas Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)
  • Huseyin Toman Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)
  • Hasan Ali Kiraz Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)
  • M Kasim Arik Department of General Surgery,, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)
  • Berna Uyan Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)
  • Hasan Sahin Department of Anesthesiology and Reanimation, Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, (Turkey)
Keywords: Morbid obesity, Super-super morbid obesity

Abstract

Obesity leads to several changes in both airway and drug metabolism. The problems are compounded in cases of super super morbid obesity.Gastric banding surgery for weight loss was planned for a 47 year old, super-super morbidly obese female patient (164 kg and 151 cm, BMI: 72 kg/m2). On pre-operative examination, patient had a short thick neck and grade 4 Mallampatti class. Induction of anesthesia was done in the sitting / semi-sitting position Maintenance was provided with 6% desflurane and O2/air mixture. Remifentanil infusion of 0.05 μg/kg was administered during surgery. Patient had an uneventful recovery.The use of short acting drugs and appropriate monitoring provided hemodynamic stability and a fast and smooth recovery

Citation:Erbas M, Toman H, Kiraz HA, Simsek T, Arik MK, Uyan B, Sahin H. Anesthetic management for super-super morbidly obese patient. Anaesth Pain & Intensive Care 2014;18(3):291-93

Published
01-29-2019
How to Cite
Erbas, M., Toman, H., Kiraz, H. A., Arik, M. K., Uyan, B., & Sahin, H. (2019). Anesthetic management for super-super morbidly obese patient. Anaesthesia, Pain & Intensive Care, 291-293. Retrieved from https://apicareonline.com/index.php/APIC/article/view/423
Issue
Vol.18 No.3(2014): July-September
Section
Case Reports