Key result
Continuous spinal anesthesia via an intrathecal catheter with incremental dosing provided effective anesthesia without respiratory distress or postdural puncture headache in a parturient with BMI >100.
Why the study?
It was unclear whether there are additional or unique anesthetic concerns when a parturient's BMI rises far above the super morbid obesity level of BMI >50 kg/m2, with few reports focusing on patients with BMI near or above 100.
Case Report (n=1)
No
Continuous spinal anesthesia with incremental dosing and semi-upright positioning is a viable and safe anesthetic strategy for cesarean delivery in parturients with a BMI over 100.
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May support continuous spinal use in super-obese parturients; hypothesis-generating and requires prospective validation before adoption.
Reno et al. (2021) conducted a case report in Morbid obesity (BMI > 100) requiring cesarean delivery (n=1). Continuous spinal anesthesia via intrathecal catheter was evaluated on Effective anesthesia and absence of complications. Continuous spinal anesthesia via an intrathecal catheter with incremental dosing provided effective anesthesia without respiratory distress or postdural puncture headache in a parturient with BMI >100.
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