A CASE OF SUCCESSFUL REGIONAL ANESTHESIA OF ABDOMINAL DELIVERY IN PREGNANT WITH MORBID OBESITY
Keywords:
regional anesthesia, abdominal delivery, pregnancy, morbid obesityAbstract
Surgical treatment of patients with morbid obesity requires a careful evaluation of anesthesia and surgical risk. As compared with patients with normal body weight the patient with obesity represent a group with a high risk of perioperative pulmonary, cardiovascular and thromboembolic complications. Moreover, the risk of complications is directly dependent on the body mass index, i. e. with the increase in body mass index frequency of complications increases. Our observation indicates the need for a command-peer provider in patients with high risk — with morbid obesity. The regional anesthesia is most preferable for patients with the risk of difficult airway, breathing and cardiovascular complications in the perioperative period. Presence of the operating specialist endoscopic service with bronchoscope is necessary. A combined low dose spine-epidural anesthesia can be regarded as the method of choice for pain management of abdominal delivery in pregnant with morbid obesity. Thromboprophylaxis and antibiotic prophylaxis of the perioperative period are absolutely necessary.
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