Key result
C-arm fluoroscopic-guided subarachnoid block successfully provided complete analgesia below the T6 level in a super morbidly obese patient, with an 8-minute procedure time.
Why the study?
Needle insertion for central neuraxial blockade is challenging in morbidly obese patients, and few reports describe fluoroscopy-guided neuraxial block performed in the operating theatre.
Case Report (n=1)
No
C-arm fluoroscopic guidance can facilitate successful and rapid spinal anaesthesia in super morbidly obese patients where conventional or ultrasound-guided techniques are anticipated to be difficult.
No takes yet. Share an insight, caveat, or question.
May enable neuraxial access when landmarks fail in super obesity; hypothesis-generating and requires prospective validation.
Koyama et al. (2020) conducted a case report in Right femoral diaphyseal fractures in a super morbidly obese patient (n=1). C-arm fluoroscopic-guided subarachnoid block was evaluated on Successful subarachnoid block and surgical analgesia. C-arm fluoroscopic-guided subarachnoid block successfully provided complete analgesia below the T6 level in a super morbidly obese patient, with an 8-minute procedure time.
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