Regional anaesthesia-Still a comfortable choice in morbidly obese parturient
Keywords:
Obesity morbid, Anesthesia conduction, Cesarean section, Anesthesia spinal, Pregnancy
Abstract
Obesity has been identified as a significant risk factor for anaesthesia related morbidity/mortality in obstetrics. Obesity compounds most of the physiological changes in pregnancy. The obese parturients are at increased risk of having either concurrent medical problems or superimposed antenatal diseases including preeclampsia and gestational diabetes. These patients need thorough preoperative assessment, meticulous preparation and preparation for difficult airway as incidence of failed intubation is many times higher in these patients. Regional anaesthesia whenever possible is the best choice in this group of patients.
References
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12. Navarro-Vargas JR, Aldana-Diaz JL, Eslava-Schamalbach JH. Gestational obesity as a determinant of general anesthesia technique for cesarean delivery: A case report. Rev Fac Med. 2009;57:281-6.
2. Shobary HE, Kaufman I, Schricker T. Anesthetic management of a morbidly obese parturient undergoing cesarean section. MEJ Anesth. 2011;21:289-99.
3. Rao DP, Rao VA. Morbidly obese parturient: Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new? IJA. 2010;54:508-21.
4. Suresh M, Wali A. The high-risk obstetric patient. Anesth Clin North Am. 1998;16:477-98.
5. Richardson MG. Regional anaesthesia for obstetrics. Anesth Clin North Am. 2000;18:382-406.
6. Hawkins JL, Koonin LM, Palmer SK, Gibbs CP. Anesthesia related deaths during obstetric delivery in the United States, 1979-80. Anesthesiology. 1997;86:277-84.
7. Ginosar Y, Russell IF, Halpern SH. Is regional anesthesia saferthan general anesthesia for cesarean section? In: Halpern SH,Douglas MJ, editors. Evidence-based obstetric anesthesia. BJMBooks – Blackwell Publishing; 2005. p. 108–31.
8. Rawal N, Holmstrom B, Crowhurst JA, Van Zundert A. The combined spinal epidural technique. Anesth Clin North Am. 2000;18:267-95.
9. Riggler ML, Drasner K, Krejcic TC, Yelich SJ, Schelnick FT, DeFontes J, et al. Cauda equina syndrome after continuous spinal anaesthesia. Anesth Analg. 1991;72:275-81.
10. Coker LL. Continuous spinal anaesthesia for cesarean section for a morbidly obese parturient patient: A case report. AANA. 2002;70:189-92.
11. Brown RS, Johnson MD, Zavisca R, Shopper G, Quan C. Morbidobesity in the parturient reduces the risk of post duralpuncture headache (PDPH) after large bore continuous spinalanaesthesia (CSA). Anesthesiology. 1993;79:A1004 [abstract].
12. Navarro-Vargas JR, Aldana-Diaz JL, Eslava-Schamalbach JH. Gestational obesity as a determinant of general anesthesia technique for cesarean delivery: A case report. Rev Fac Med. 2009;57:281-6.
How to Cite
1.
Bansal T, Kumar P, Hooda S. Regional anaesthesia-Still a comfortable choice in morbidly obese parturient. Colomb. J. Anesthesiol. [Internet]. 2013 Oct. 1 [cited 2024 May 7];41(4):302-5. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/674
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Published
2013-10-01
How to Cite
1.
Bansal T, Kumar P, Hooda S. Regional anaesthesia-Still a comfortable choice in morbidly obese parturient. Colomb. J. Anesthesiol. [Internet]. 2013 Oct. 1 [cited 2024 May 7];41(4):302-5. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/674
Issue
Section
Case Report / Case Series
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