Key result
Segmental epidural anesthesia successfully manages a morbidly obese patient undergoing prone percutaneous nephrolithotomy.
Case Report (n=1)
Segmental epidural anesthesia can be successfully used for obese patients undergoing percutaneous nephrolithotomy in the prone position.
May support epidural anesthesia for prone PCNL in obesity; hypothesis-generating and should not yet change practice.
The increasing incidence of obesity is a crisis in health care where these patients are increasingly being anesthetized for nonbariatric surgery. Anesthetizing an obese patient is a challenge and more so if surgery is to be done in prone position. We would like to present a patient, a 59-year-old male with body mass index of 45 (weight: 145 kg; height: 178 cm; abdominal girth: 135 cm) with a history of diabetes mellitus, hypertension, and chronic obstructive pulmonary disease since 10 years posted for a left-sided percutaneous nephrolithotomy. Successfully managed under epidural anesthesia and operated in the prone position.
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Dhansura et al. (2016) conducted a case report in Obesity, percutaneous nephrolithotomy (n=1). Segmental epidural anesthesia was evaluated on Successful management and operation. Segmental epidural anesthesia was successfully used to manage a 59-year-old morbidly obese male patient undergoing percutaneous nephrolithotomy in the prone position.
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