Preoperative Evaluation, Anesthesia and Outcome of a Super Morbidly Obese Patient.
Vol. 4 No. 2 (2020), Case Reports
Vol. 4 No. 2 (2020)

Preoperative Evaluation, Anesthesia and Outcome of a Super Morbidly Obese Patient.

Case Reports
https://doi.org/10.32391/ajtes.v4i2.148
Published 2020-07-20
Majlinda NAÇO
Department of Anesthesia and Intensive Care in General Surgery, University Hospital Center “Mother Theresa”, Tirana, ALBANIA
Haxhire GANI
Department of Anesthesia and Intensive Care in General Surgery, University Hospital Center “Mother Theresa”, Tirana, ALBANIA.
Nertila KODRA
Department of Anesthesia and Intensive Care in General Surgery, University Hospital Center “Mother Theresa”, Tirana, ALBANIA.
Etmont ÇELIKU
Department of General Surgery, the First clinic, University Hospital Center “Mother Theresa”, Tirana, ALBANIA.
Alma LLUKAÇAJ
Department of General Surgery, the first clinic, University Hospital Center “Mother Theresa”, Tirana, ALBANIA.
Eden NAÇO
Medical student, Catholic University “Our lady of good counsel”, Tirana, ALBANIA.
AJTES Vol 4, No 2, July 2020
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Keywords

Abdomen view
BMI formula
Obesity clinic,
Ramped position.

How to Cite

NAÇO, M., GANI, H., KODRA, N., ÇELIKU, E., LLUKAÇAJ, A., & NAÇO, E. (2020). Preoperative Evaluation, Anesthesia and Outcome of a Super Morbidly Obese Patient. Albanian Journal of Trauma and Emergency Surgery, 4(2), 733–737. https://doi.org/10.32391/ajtes.v4i2.148
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Abstract

Background; Nowadays anesthesia and outcome of morbidly obese patients became not only challenges but and an obligation in abdominal surgery. Sometimes morbidly obese patients postponed from all the kinds of surgery till it is life-threatening. The ward of anesthetists is obligate for a very careful preoperative evaluation, anesthesia, and outcome of morbidity obese patients. These include the preoperative evaluation of obesity, particularly on cardiac, respiratory, and metabolic systems; airway management; perioperative management (i.e., hemodynamic, respiratory, and hyperglycemic) and postoperative care.

Case description: A 62 years old female with BMI=63.7 kg/m² with severe hypertension treatment came to a surgery ward for the plastic abdomen. After a careful preoperative preparation for the respiratory system and prophylaxis for thrombosis home, we started preoperative care 72 hours before surgery done in our hospital. We used general anesthesia for operation, the surgery lasts 190 minutes, and the patient was extubated according to weaning criteria only 16 hours after surgery. The patient stayed 2 days in intensive care and left a safe hospital on her ten days of recovery.

Discussion:  Super obese surgical patients represent numerous challenges to the anesthetist.

Conclusion: A better understanding of the pathophysiology and complications that accompany obesity may improve their care and outcome.

https://doi.org/10.32391/ajtes.v4i2.148
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