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[Anesthetic management of cesarean section in a patient with severe obesity].
Masui. 2003 Aug; 52(8):903-5.M

Abstract

A 35-year-old pregnant woman (weight, 129.5 kg; height, 156 cm; 37 weeks of pregnancy) with a body mass index of 53 was scheduled for a cesarean section. It was thought that epidural or spinal anesthesia might result in complications due to her severe obesity. It was therefore decided to use general anesthesia following awake intubation. Her baby was delivered, and her Apgar scores at 1 and 5 minutes after delivery were 8 and 9 points, respectively. During surgery, she developed hypoxia due to upper shift of the diaphragm. After surgery, she was extubated after improvement of her oxygenation under spontaneous breathing. This case demonstrates that difficulties may be encountered during anesthetic management of a severely obese patient undergoing cesarean section.

Authors+Show Affiliations

Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo 060-8543.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

13677290

Citation

Wada, Kosuke, et al. "[Anesthetic Management of Cesarean Section in a Patient With Severe Obesity]." Masui. the Japanese Journal of Anesthesiology, vol. 52, no. 8, 2003, pp. 903-5.
Wada K, Kawamata T, Sonoda H, et al. [Anesthetic management of cesarean section in a patient with severe obesity]. Masui. 2003;52(8):903-5.
Wada, K., Kawamata, T., Sonoda, H., Yamazaki, Y., Morichika, M., Kozuka, Y., & Namiki, A. (2003). [Anesthetic management of cesarean section in a patient with severe obesity]. Masui. the Japanese Journal of Anesthesiology, 52(8), 903-5.
Wada K, et al. [Anesthetic Management of Cesarean Section in a Patient With Severe Obesity]. Masui. 2003;52(8):903-5. PubMed PMID: 13677290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anesthetic management of cesarean section in a patient with severe obesity]. AU - Wada,Kosuke, AU - Kawamata,Tomoyuki, AU - Sonoda,Hajime, AU - Yamazaki,Yutaka, AU - Morichika,Masayuki, AU - Kozuka,Yuji, AU - Namiki,Akiyoshi, PY - 2003/9/19/pubmed PY - 2003/10/29/medline PY - 2003/9/19/entrez SP - 903 EP - 5 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 52 IS - 8 N2 - A 35-year-old pregnant woman (weight, 129.5 kg; height, 156 cm; 37 weeks of pregnancy) with a body mass index of 53 was scheduled for a cesarean section. It was thought that epidural or spinal anesthesia might result in complications due to her severe obesity. It was therefore decided to use general anesthesia following awake intubation. Her baby was delivered, and her Apgar scores at 1 and 5 minutes after delivery were 8 and 9 points, respectively. During surgery, she developed hypoxia due to upper shift of the diaphragm. After surgery, she was extubated after improvement of her oxygenation under spontaneous breathing. This case demonstrates that difficulties may be encountered during anesthetic management of a severely obese patient undergoing cesarean section. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/13677290/[Anesthetic_management_of_cesarean_section_in_a_patient_with_severe_obesity]_ L2 - https://www.medicalonline.jp/meteo_linkout.php?issn=0021-4892&volume=52&issue=8&spage=903 DB - PRIME DP - Unbound Medicine ER -