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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
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

 en 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 patient.
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.

© Copyright 2012 - African Health Sciences

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