Spinal Anaesthesia for Caesarean Section in a Morbidly Obese Parturient: A Case Report

Simple item page
dc.contributor.authorBaldaniya, Sanjayen_US
dc.contributor.authorChhanwal, Heenaen_US
dc.contributor.authorShah, Dharaen_US
dc.date.accessioned2023-07-14T08:10:03Z
dc.date.available2023-07-14T08:10:03Z
dc.date.issued2021-12
dc.description.abstractThe population of obese individuals is increasing worldwide.Maternal obesity is an important risk factor in pregnancy and problems such as difficulty in endotracheal intubation, risk of aspiration, and hypoxia may occur 2 during generalanaesthesia.A 28-year-old woman (height 1.6 m, body weight 126 kg, BMI 49.2 kg/m ) visited GCS Hospital, Ahmedabad for selective caesarean section at a gestational age of 37 weeks. Patient was diagnosed with PIH. Spinal anaesthesia was selected because of the high possibility of endotracheal intubation failure due to super morbid obesity.Considering the possibility of hypotension, an arterial cannula was placed in the right radial artery for invasive arterial pressure monitoring. After sterile preparation, spinal anaesthesia was performed through the L3–4 interspinous space using a 90 mm 24-gauge spinal needle. During surgery,Blood pressure was maintained between 160/88 and 86/38 mm Hg and heart rate was maintained between 70 and 104 beats/min. The surgery was completed uneventfully. The block level of spinal anaesthesia was maintained at the T8 dermatome level during the operation and was also confirmed at the end of operation.en_US
dc.identifier.affiliationsResidenten_US
dc.identifier.affiliationsProfessor & Headen_US
dc.identifier.affiliationsAssistant Professor, Department of Anaesthesia, GCS Medical College, Hospital & Research Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationBaldaniya Sanjay, Chhanwal Heena, Shah Dhara. Spinal Anaesthesia for Caesarean Section in a Morbidly Obese Parturient: A Case Report. GCSMC Journal of Medical Sciences. 2021 Dec; 10(2): 91–93en_US
dc.identifier.issn2278-7399
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219697
dc.languageenen_US
dc.publisherGCS Medical College, Hospital and Research Centeren_US
dc.relation.issuenumber2en_US
dc.relation.volume10en_US
dc.source.urihttps://gcsmc.org/assets/pdf/journal/journal-2818/case-report/9202203281242270010770.pdfen_US
dc.subjectBMIen_US
dc.subjectCaesarean sectionen_US
dc.subjectMorbid obesityen_US
dc.subjectSpinal anaesthesiaen_US
dc.titleSpinal Anaesthesia for Caesarean Section in a Morbidly Obese Parturient: A Case Reporten_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
GCSMC2021v10n2p91.pdf
Size:
1.85 MB
Format:
Adobe Portable Document Format
Download
Collections
GCSMC Journal of Medical Sciences