Anesthesia management of a morbidly obese patient in prone position for lumbar spine surgery
- PMID: 20890416
- PMCID: PMC2944860
- DOI: 10.4103/0974-8237.65483
Anesthesia management of a morbidly obese patient in prone position for lumbar spine surgery
Abstract
A morbidly obese, 45-year-old woman with a body mass index of 47 kg/m(2) , presented with a prolapsed intervertebral disc of the lumbar spine for decompression and fixation. Anesthesia and surgical positioning of morbidly obese patient carries 3 main hazards, namely, morbid obesity, prone position, and airway preservation problems. Morbid obesity has its own hazards of deep vein thrombosis and pulmonary embolus. Here we describe anesthetic management, successfully dealing with the specific problems of this patient due to obesity.
Keywords: Anesthesia management; lumbar spine; morbid obesity; prone position.
Conflict of interest statement
References
-
- NIH conference: Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115:956–61. - PubMed
-
- Bray GA. Pathophysiology of obesity. Am J Clin Nutr. 1992;55:488s–94s. - PubMed
-
- Nauser TD, Stites SW. Diagnosis and treatment of pulmonary hypertension. Am Fam Physician. 2001;63:1789–98. - PubMed
-
- Ogunnaike BO, Jones SB, Jones DB, Provost D, Whitten CW. Anesthetic considerations for bariatric surgery. Anesth Analg. 2002;95:1793–805. - PubMed
-
- Stoelting RK, Dierdorf SF. 4th ed. Philadelphia: Churchill Livingstone; 2002. Anesthesia and co-existing disease.