Comparison of General and Regional Anesthesia in Morbidly Obese Patient: Case Report

Abstract

Maja Pesic, Ivan Ivanovski, Katarina Klican-Jaic, prim Josip Kovac and doc Marinko Vucic

Obese patients and weight related health problems represent a great challenge for modern anesthesiologists to find most adequate and optimal anesthesiology technique. We would like to present a case of morbidly obese patient scheduled for flexible ureterorenoscopy and laser lithotripsy operation as treatment for nephrolithiasis at our urology clinic. Patient was a morbidly obese woman with BMI of 57 kg/m2 , with history of asthma; diabetes mellitus type II, arterial hypertension and hypothyreosis. Our case is specific because this patient had the same operation twice in two month period, first operation was done in general endotracheal anesthesia, and second one in regional spinal anesthesia. We show the preoperative, intraoperative and postoperative clinical course of the patient for both anesthesias. Patient clinical course was much better and she spent less time in hospital with spinal anesthesia. We think that spinal anesthesia would be a better choice in morbidly obese patient, off course, taking in to account indications and contraindications for it.

PDF