Key result
Meticulous anesthesia management and careful positioning on a Jackson's table enabled safe prone spine surgery and uneventful recovery in a 68-year-old morbidly obese male with a BMI of 66.3 kg/m2.
Why the study?
Obesity prevalence is rapidly rising in India, posing well-known anesthesiology concerns during surgical procedures.
Case Report (n=1)
No
Meticulous anesthesia planning, including airway management and positioning on a Jackson's table, allows for safe prone spine surgery in morbidly obese patients.
Supports individualized anesthesia planning for extreme obesity in prone spine surgery; leaves open generalizability beyond this single case.
India is seeing a rapid epidemiological transition from underweight to overweight, with an overall prevalence of obesity reported to be 40.3%. Anesthesiology concerns in an obese patient are well known. We elaborate on the anesthesia management in a 68-year-old male patient with a body mass index of 66.3 kg/m2 who underwent spine surgery in prone position. Challenges faced ranged from the size of the table to the difficult airway, difficulty in positioning, maintenance of airway and ventilation, maintaining a free abdomen, and anesthesia management with meticulous use of anesthetic drugs for an uneventful recovery.
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Latkar et al. (2022) conducted a case report in Morbid obesity and cauda equina syndrome (n=1). Anesthesia management and prone positioning was evaluated on Safe surgical outcome and recovery. Meticulous anesthesia management and careful positioning on a Jackson's table enabled safe prone spine surgery and uneventful recovery in a 68-year-old morbidly obese male with a BMI of 66.3 kg/m2.
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