Positioning and Anesthesia Challenges In a Morbidly Obese Patient Undergoing Cervical Spine Surgery

Journal Title: Research and Practice in Anesthesiology – Open Journal - Year 2016, Vol 1, Issue 1

Abstract

Background Context: By itself, the perioperative anesthesia management of morbidly obese patients is challenging; this task is further complicated when such patients have to be placed in the prone position for surgery. In these cases, challenges may include positioning, intubation and ventilation. Purpose: Herein, we describe the safe perioperative anesthesia care of a morbidly obese patient undergoing cervical spine surgery for an enlarging schwannoma. Study Setting: Morbidly obese patient care at a tertiary cancer institute. Patient Sample: Single case report. Methods: Describing the preparation and planning for this complex case and the perioperative care of a patient with several comorbidities. No conflict of interest to report for any of the authors. Results: Good patient outcome. Conclusion: Careful multi-disciplinary planning facilitates, good patient outcome, given the challenging nature of the case. Highlighting the use of a trial run in the operating prior to the day of surgery.

Authors and Affiliations

Keyuri Popat

Keywords

Related Articles

Respiratory Depression on the Wards: Why Better Monitoring may be the Answer?

Although, deaths during anesthesia are rare, deaths in the post-operative period are not.1 The third leading cause of death in the United States is mortality after surgery, during the ‘recovery and rehabilitation’ period...

Role of Prehabilitation in Patients Undergoing Cancer Surgeries

Cancer is the second leading cause of death worldwide and nearly 1 in 6 deaths is due to cancer. It accounts for 8.8 million deaths in 2015. The occurrence of cancer is increasing and new cases are expected to rise by ab...

Anticipated Difficult Intubation Due to Polypoidal Squamous Cell Carcinoma on Posterior One Third of Tongue

The most common type of tongue malignancy is squamous cell carcinoma (SCC) which constitutes about 36.5% of all oral malignancies.1 It usually presents as painless swelling which is oftenignored by the patient until late...

Case Report in Anesthesiology: Essential Pulmonary Hypertension in a Primigravida

A 21-year old gravida 1, para 0, female with a past medical history of Pulmonary Hypertension (PH) secondary to a congenital heart disease (patent foramen ovale), diaphragmatic hernia status post repair, asthma, and atte...

The Importance of Optimizing Acute Post-Surgical Pain

In February 1992, AHCPR released a clinical practice guideline1 to help surgeons, nurses, and anesthesiologists manage acute post-operative pain more effectively. The guideline was developed by an 18-member private-secto...

Download PDF file
  • EP ID EP546346
  • DOI 10.17140/RPAOJ-1-104
  • Views 175
  • Downloads 0

How To Cite

Keyuri Popat (2016). Positioning and Anesthesia Challenges In a Morbidly Obese Patient Undergoing Cervical Spine Surgery. Research and Practice in Anesthesiology – Open Journal, 1(1), 15-18. https://europub.co.uk/articles/-A-546346