International Journal of Obstetric Anesthesia
Volume 16, Issue 2 , Pages 139-144, April 2007

Complications of neuraxial anesthesia in an extreme morbidly obese patient for cesarean section

  • R.J. Whitty

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Robert Whitty, Department of Anesthesia and Pain Management, Mount Sinai Hospital & University of Toronto, 600 University Avenue, Room 781, Toronto, Ontario, M5G 1X5, Canada. Tel.: +416 586 5270; fax: +416 586 8664.
    • ,
  • C.V. Maxwell
    • ,
  • J.C.A. Carvalho

Mount Sinai Hospital, Toronto, Canada

Accepted 23 August 2006. published online 31 January 2007.

R.J. Whitty MD, Department of Anesthesia and Pain Management, C.V. Maxwell MD, Department of Obstetrics and Gynecology, J.C.A. Carvalho MD, PhD, Department of Anesthesia and Pain Management and the Department of Obstetrics and Gynecology, Mount Sinai Hospital, Toronto, Ontario, Canada.

Summary 

A morbidly obese patient presented for elective cesarean section. This case demonstrates the technical difficulties and potentially life-threatening complications encountered in attempting to locate an epidural space at a distance of over 11 cm from the skin. Ultrasound was used to aid in locating the space. The resources required and the logistical problems that impact on staff members in managing a morbidly obese patient presenting for cesarean section are also highlighted.

Keywords: Obesity, Cesarean section, Regional anesthesia: spinal, epidural, Ultrasound

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PII: S0959-289X(06)00157-9

doi:10.1016/j.ijoa.2006.08.011

International Journal of Obstetric Anesthesia
Volume 16, Issue 2 , Pages 139-144, April 2007

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