Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 31, 2022Journal of the Bangladesh Society of AnaesthesiologistsOpen Access

Anaesthetic Management of a Morbidly Obese Parturient Undergoing Cesarean Section

View Full Paper
Ask AI
Bookmark
Share

Key result

Epidural anaesthesia provided safe and effective intraoperative conditions and postoperative analgesia for a morbidly obese parturient undergoing an elective cesarean section, with no perioperative complications.

Why the study?

An increasing number of morbidly obese women require anaesthetic care for labour and delivery, presenting obstetric, anesthetic, and logistical challenges.

Design

Case report

Authors

AMAbdullah Al MarufMKMd Mustafa KamalSSSharif Uddin Siddique

Discussion

Loading...

Member takes

Overview

Epidural anesthesia yielded optimal outcome in this BMI 61.6 cesarean case; Level 5 evidence leaves safety and generalizability open.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 30-year-old morbidly obese pregnant woman (BMI 61.6 kg/m2) at 37 weeks gestation who underwent an elective cesarean section under epidural anaesthesia.
I
Intervention
Epidural anesthesia (bupivacaine 0.5%) followed by postoperative epidural analgesia (bupivacaine 0.25% with fentanyl) and DVT prophylaxis (enoxaparin 40 mg SC daily).
O
Outcome
Hemodynamic and respiratory stability, successful delivery, and absence of postoperative complications.safety

Epidural anesthesia with careful postoperative analgesia and thromboprophylaxis can be safely and effectively used in morbidly obese parturients undergoing cesarean section.

Cite This Study

Maruf et al. (2022) conducted a case report in Morbid obesity in pregnancy (n=1). Epidural anaesthesia was evaluated on Perioperative maternal and fetal outcomes. Epidural anaesthesia provided safe and effective intraoperative conditions and postoperative analgesia for a morbidly obese parturient undergoing an elective cesarean section, with no perioperative complications.

synapsesocial.com/papers/6a9e7e888908ec8da0acb6d7https://doi.org/10.3329/jbsa.v35i2.67897
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anesthetic and Obstetric Outcome in Morbidly Obese Parturients1993 · 440 citations
  2. 2How to inform a morbidly obese patient on the specific risk to develop postoperative pulmonary complications using evidence-based methodology2006 · 20 citations
  3. 3Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology2016 · 116 citations
  4. 4Anesthesia-Related Maternal Mortality in Michigan, 1972 to 19841989 · 6 citations
  5. 5Updates in perioperative coagulation: physiology and management of thromboembolism and haemorrhage2004 · 134 citations