Perioperative management of a morbidly obese pregnant patient undergoing cesarean section under general anesthesia - Case report

Revista brasileira de anestesiologia
Márcio Luiz BenevidesJacqueline Ivonne Arenas Lovera

Abstract

The increased prevalence of obesity in the general population extends to women of reproductive age. The aim of this study is to report the perioperative management of a morbidly obese pregnant woman, body mass index > 50 kg/m(2), who underwent cesarean section under general anesthesia. Pregnant woman in labor, 35 years of age, body mass index 59.8 kg/m(2). Caesarean section was indicated due to the presumed fetal macrosomia. The patient refused spinal anesthesia. She was placed in the ramp position with cushions from back to head to facilitate tracheal intubation. Another cushion was placed on top of the right gluteus to create an angle of approximately 15° to the operating table. Immediately before induction of anesthesia, asepsis was carried out and sterile surgical fields were placed. Anesthesia was induced in rapid sequence, with Sellick maneuver and administration of remifentanil, propofol, and succinilcolina. Intubation was performed using a gum elastic bougie, and anesthesia was maintained with sevoflurane and remifentanil. The interval between skin incision and fetal extraction was 21 minutes, with the use of a Simpson's forceps scoop to assist in the extraction. The patient gave birth to a newborn weighing 4850 g, with...Continue Reading

References

Aug 29, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Takashi NoguchiAkio Shigematsu
Dec 16, 2003·Obstetrics and Gynecology·Peter D WallEva K Pressman
Mar 6, 2008·Anesthesiology Clinics·David Hill
May 19, 2009·International Journal of Obstetric Anesthesia·O A BamgbadeG Madhavan
Aug 3, 2010·American Journal of Obstetrics and Gynecology·Michelle A KominiarekUNKNOWN Consortium on Safe Labor
Aug 4, 2010·American Journal of Obstetrics and Gynecology·Mark C AlanisChristopher J Robinson
Sep 14, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jason BellAwoniyi O Awonuga
Feb 22, 2011·Revista brasileira de anestesiologia·Fernando Souza Nani, Marcelo Luis Abramides Torres
Aug 13, 2011·Journal of Pain & Palliative Care Pharmacotherapy·Chitra Ramasubbu, Anita Gupta
Nov 7, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·H Baaqeel, R Baaqeel
Feb 26, 2013·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Everett F MagannJohn C Morrison
Jun 4, 2013·American Journal of Obstetrics and Gynecology·Shayna N ConnerAlison G Cahill
Jun 8, 2013·Obstetrics and Gynecology·Marie Blomberg
Aug 24, 2013·Obstetrics and Gynecology·Rodney K EdwardsAlan T N Tita

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Citations

Jan 10, 2019·História, ciências, saúde--Manguinhos·Sara Fernandes PichethFabiane Cortez Verdu
Apr 14, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alaa SabbahiKim E Turner

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