Anesthetic management for super-super morbidly obese patient

被引：0
|
作者：
Erbas, Mesut [1 ]
Toman, Huseyin [1 ]
Kiraz, Hasan Ali [1 ]
Simsek, Tuncer [1 ]
Arik, M. Kasim [2 ]
Uyan, Berna [1 ]
Sahin, Hasan [1 ]
机构：
[1] Canakkale Onsekiz Mart Univ, Fac Med, Dept Anesthesiol & Reanimat, Canakkale, Turkey
[2] Canakkale Onsekiz Mart Univ, Fac Med, Dept Gen Surg, Canakkale, Turkey
来源：
ANAESTHESIA PAIN & INTENSIVE CARE | 2014年 / 18卷 / 03期
关键词：
Morbid obesity; Super-super morbid obesity; Inhalation anesthesia;
D O I：
暂无
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
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/m(2)). 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 O-2/air mixture. Remifentanil infusion of 0.05 mu g/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
引用
收藏
页码：291 / 293
页数：3
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