ANAESTHETIC MANAGEMENT OF A MORBIDLY OBESE PATIENT WITH MULTIPLE COMORBIDITIES AND POST-BURN COMPLICATIONS: A CASE REPORT

V. K. Uppalapati, D. Nag
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Abstract

We present a case report of a 53-year-old woman with multiple comorbidities, including morbid obesity, severe obstructive sleep apnoea, hypertension, type 2 diabetes mellitus, post-burn complications, poor intravenous access, and an anticipated difcult airway. The patient underwent elective umbilical meshplasty under general anaesthesia. This report highlights the challenges encountered during anaesthetic management and the successful outcomes achieved through a carefully planned approach. The induction, intubation, and intraoperative period were uneventful, and the patient was extubated on the rst postoperative day. Intermittent non-invasive ventilation support was provided until the fth postoperative day. This case report emphasizes the importance of considering the unique considerations and potential contraindications in patients with multiple comorbidities and post-burn complications.
一名患有多种并发症和烧伤后并发症的病态肥胖患者的麻醉管理:病例报告
我们报告了一例 53 岁女性患者的病例,她患有多种并发症,包括病态肥胖、严重阻塞性睡眠呼吸暂停、高血压、2 型糖尿病、烧伤后并发症、静脉通路不畅以及预期的 difcult 气道。患者在全身麻醉下接受了选择性脐网成形术。本报告重点介绍了麻醉管理过程中遇到的挑战,以及通过精心策划的方法取得的成功结果。诱导、插管和术中均顺利进行,患者于术后第 r 第一天拔管。间歇性无创通气支持一直持续到术后第  天。本病例报告强调了考虑有多种合并症和烧伤后并发症的患者的特殊情况和潜在禁忌症的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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