Usefulness of Ultrasonography for Neuraxial Anesthesia in Morbid Obese Parturients Undergoing Cesarean Section : Report of Three Cases

Regional anesthesia is preferable to general anesthesia for cesarean section, but it is often difficult in morbidly obese parturients undergoing cesarean section. We report three cases of parturients with morbid obesity (body mass index > 45 kg/m2) undergoing cesarean section under neuraxial anes...

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Bibliographic Details
Published inNihon Rinshō Masui Gakkai shi Vol. 36; no. 2; pp. 168 - 171
Main Authors HORIBA, Yoko, SUZUKI, Hodaka, KAMEI, Daijiro, NOGUCHI, Hiroki, WATANABE, Hiroshi, ITO, Hiroshi
Format Journal Article
LanguageJapanese
English
Published THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA 15.03.2016
Subjects
Cesarean section
Morbid obesity
Parturients
Regional anesthesia
Ultrasonography
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Summary:Regional anesthesia is preferable to general anesthesia for cesarean section, but it is often difficult in morbidly obese parturients undergoing cesarean section. We report three cases of parturients with morbid obesity (body mass index > 45 kg/m2) undergoing cesarean section under neuraxial anesthesia. Although lumbar spinous process was palpable in no parturients, epidural and/or spinal anesthesia was successfully performed with no complications after confirming spinous process, interspinous ligament and spinal dura mater by ultrasound images. Ultrasonography is useful for neuraxial anesthesia in obese parturients.
ISSN:0285-4945
1349-9149
DOI:10.2199/jjsca.36.168