TY  - JOUR
AU  - Stone, Ian W.
AU  - Gupta, Ashim
AU  - Rodriguez, Hugo C.
AU  - Mistovich, R. Justin
AU  - Gupta, Manu
AU  - Potty, Anish G.
AU  - Serrato, Jorge R.
PY  - 2020
DA  - 2020/06/24
TI  - Prone Anesthesia for a Super-Super Morbidly Obese Patient Undergoing Neurosurgery: A Case Report
JO  - OBM Neurobiology
SP  - 064
VL  - 04
IS  - 02
AB  - Obesity is on the rise around the world, carrying along with it a wide range of comorbidities and complications. We report on a super-super morbidly obese 43-year-old female, with a body mass index (BMI) of 77.85 kg/m2 (173cm, 233kg), who presented for a scheduled suboccipital craniectomy with C-1 laminectomy secondary to symptoms from an Arnold-Chiari type-I malformation. Already a challenging type of surgery, due to the patient’s extreme BMI and positioning, the surgery became more difficult. There are many potential complications for general anesthesia in the obese patient, including a difficult airway, post-operative breathing problems due to obstructive sleep apnea (OSA), risk for cardiovascular events, and complications due to changes in drug pharmacokinetic/dynamic properties. In addition to the complications associated with anesthesia, the patient needed to be prone and positioned using Mayfield pins. Despite these challenges, there were neither anesthesia nor surgical complications. Thus, while careful considerations and informed consent should be obtained, BMI alone should not deter one from performing a procedure.
SN  - 2573-4407
UR  - https://doi.org/10.21926/obm.neurobiol.2002064
DO  - 10.21926/obm.neurobiol.2002064
ID  - Stone2020
ER  -