African Health Sciences
Makerere University Medical School
Vol. 12, No. 2, 2012, pp. 181-185
Bioline Code: hs12030
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 12, No. 2, 2012, pp. 181-185
© Copyright 2012 - African Health Sciences
Anaesthetic management of a super morbidly obese patient for total abdominal hysterectomy: a few more lessons to learn|
Fyneface-Ogan, S.; Abam, D.S. & Numbere, C.
Background: The prevalence of obesity is on the upward trend world-wide. This epidemic has challenging implications for
anaesthetists, following the anthropometric changes associated with the disease.
Objective: To highlight some of the challenges, the management and the lessons learnt during the management of this
Methods: This is a case report of a 52-year old super morbidly obese, diabetic, and hypertensive patient that presented for
total abdominal hysterectomy. Surgery was carried out under a single-shot spinal anaesthesia with bupivacaine/fentanyl.
Results: Under bupivacaine/fentanyl anaesthesia, she became very drowsy and had moderate to severe respiratory depression.
She was arousable but had an obstructive sleep apnoea. Surgery was carried out successfully
Conclusion: A better understanding of the pathophysiology and complications that accompany obesity is needed to
manage an obese patient under anaesthesia.