Gestational obesity as a determinant of general anesthesia technique for caesarean delivery: a case report

Background. The incidence of obesity has undergone a dramatic increase around the world during the last few years. Such epidemic behavior has been associated with obstetric patient's frequent presentation of different stages of obesity when undergoing anesthetic procedure. Obesity in pregnant w...

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Published inRevista de la Facultad de Medicina, Universidad Nacional de Colombia Vol. 57; no. 3; pp. 281 - 286
Main Authors Navarro Vargas, José Ricardo, Aldana Díaz, José Luis, Eslava Schamalbach, Javier H
Format Journal Article
LanguageSpanish
Portuguese
English
Published Bogota Universidad Nacional de Colombia 01.07.2009
Subjects
Airway management
Anesthesiology
Body mass index
Case reports
Cesarean section
Diabetes
Epidural
General anesthesia
MEDICINE, GENERAL & INTERNAL
Obesity
Obstetrics
Overweight
Patients
Pregnancy
Public health
Womens health
Colombia
gestación
pregnancy
obesidad
anestesia obstétrica
obstetrics
anestesia general
general anesthesia
obesity
anesthesia
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Summary:Background. The incidence of obesity has undergone a dramatic increase around the world during the last few years. Such epidemic behavior has been associated with obstetric patient's frequent presentation of different stages of obesity when undergoing anesthetic procedure. Obesity in pregnant women involves the risk of adverse maternal and fetal outcomes. Hypertension and preeclampsia, diabetes, fetal macrosomia, caesarean delivery, difficult airway management and neuroaxial techniques are more likely to be performed in this group of patients. Materials and methods. This is a case report of a morbid obese patient scheduled for caesarean delivery and tubal ligation. Regional, spinal and epidural techniques were attempted for surgery with unsuccessful results; this entails general anesthesia for surgery. The literature on complications due to obesity during pregnancy was reviewed, emphasising relevance for the anesthesiologist. Conclusion. Obesity, especially morbid obesity in pregnant women, represents a challenge for anesthesia management. Updated knowledge of physiology and the conditions related to obesity in pregnancy is necessary; medical services must be prepared to provide optimum and safe obstetric anesthesia, analgesia and post-operation care.
ISSN:0120-0011
2357-3848