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DOI:
10.4314/ahs.v12i2.16Article Details
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Main Article Content
Anaesthetic management of a super morbidly obese patient for total abdominal hysterectomy: a few more lessons to learn
Abstract
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.
